Individual
MARIE FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 ENTERPRISE AVE NE, ISANTI, MN 55040-6813
(763) 552-6161
(763) 237-3254
Mailing address
4 ENTERPRISE AVE NE, ISANTI, MN 55040-6813
(763) 552-6161
(763) 237-3254
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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