Individual
MS. JANE LORIE RECKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
600 25TH AVE S, SUITE # 210, ST CLOUD, MN 56301-4866
(320) 493-8494
(320) 253-4248
Mailing address
1013 24TH AVE N, SAINT CLOUD, MN 56303-2521
(320) 493-8494
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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