Individual
LORI MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMB
Contact information
Practice address
2479 COUNTY ROAD E E, WHITE BEAR LAKE, MN 55110-4807
(612) 270-5760
Mailing address
2479 COUNTY ROAD E E, WHITE BEAR LAKE, MN 55110-4807
(612) 270-5760
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
450533-07
MT
Other
Enumeration date
11/19/2009
Last updated
12/07/2010
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