Individual
JILL HERCHENHAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, NCBTMB,
Contact information
Practice address
2 2ND AVE S STE 55, SAUK RAPIDS, MN 56379-1246
(320) 267-1803
(320) 281-3007
Mailing address
2 2ND AVE S STE 55, SAUK RAPIDS, MN 56379-1246
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
778052
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
778052
NATIONAL REGISTRY
MN
Enumeration date
06/14/2022
Last updated
06/14/2022
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