Organization
ACTIVATED PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX GUILLIEN (CEO)
(612) 440-7187
Entity
Organization
Contact information
Practice address
34 13TH AVE NE, MINNEAPOLIS, MN 55413-1002
(612) 378-1050
Mailing address
14190 XENON ST NW UNIT 8, RAMSEY, MN 55303-9134
(612) 440-7187
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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