Individual
NICOLE ELISABETH WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
9125 QUADAY AVE NE STE 102, OTSEGO, MN 55330-6662
(612) 270-9745
Mailing address
11155 196TH LN NW, ELK RIVER, MN 55330-5727
(612) 270-9745
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MN
225700000X
Massage Therapist
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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