Individual
MR. MICHAEL ALLEN BAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT, CIMI
Contact information
Practice address
2375 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1631
(952) 236-4812
Mailing address
17301 GREENTREE PATH, LAKEVILLE, MN 55044
(952) 236-4812
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MN
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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