Individual
MS. BARBARA J WILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
3125 GEORGIA AVE S, SAINT LOUIS PARK, MN 55426-3430
(952) 457-2310
Mailing address
3125 GEORGIA AVE S, SAINT LOUIS PARK, MN 55426-3430
(952) 457-2310
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/14/2007
Last updated
12/27/2007
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