Individual
SAMANTHA ELIAZABETH NYBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
710 E RIVER RD, ANOKA, MN 55303-2828
(763) 421-2807
Mailing address
12033 NEVADA CT, CHAMPLIN, MN 55316-2220
(763) 245-9968
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2181
MN
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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