Organization
ADVANCED MASSAGE AND THERAPY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS E HERNANDEZ REYES (PRESIDENT)
(612) 275-3958
Entity
Organization
Contact information
Practice address
2526 HENNEPIN AVE, MINNEAPOLIS, MN 55405-3564
(612) 275-3958
Mailing address
2526 HENNEPIN AVE, MINNEAPOLIS, MN 55405-3564
(612) 275-3958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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