Organization
GREAT METROPOLITAN BACKRUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY WOLF MS (BILLING MANAGER)
(239) 970-2484
Entity
Organization
Contact information
Practice address
762 CLEVELAND AVE S, SAINT PAUL, MN 55116-1347
(651) 698-3338
(612) 729-1403
Mailing address
762 CLEVELAND AVE S, SAINT PAUL, MN 55116-1347
(651) 698-3338
(612) 729-1403
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/27/2015
Last updated
04/07/2017
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