Individual
DAVID EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 3RD ST E, THIEF RIVER FALLS, MN 56701-2005
(218) 686-5873
Mailing address
12 CENTER CT, MIDDLE RIVER, MN 56737-4040
(218) 686-5873
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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