Individual
THEODORE JAMES RICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT,CMT
Contact information
Practice address
6009 WAYZATA BLVD, SUITE 106, SAINT LOUIS PARK, MN 55416-1223
(952) 922-1478
(952) 922-0248
Mailing address
6009 WAYZATA BLVD, SUITE 106, SAINT LOUIS PARK, MN 55416-1223
(952) 922-1478
(952) 922-0248
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00022480
MN
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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