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Organization

POLARIS BODYWORK LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IVY ANDERSON CMT (OWNER)
(651) 354-1944
Entity
Organization

Contact information

Practice address
2937 LYNDALE AVE S, MINNEAPOLIS, MN 55408-2171
(612) 879-8000
Mailing address
841 ARMSTRONG AVE, SAINT PAUL, MN 55102-3815
(651) 354-1571

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
04/11/2023
Last updated
04/11/2023
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