Individual
ROSE THUNDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
112 CENTRAL AVE E STE B, SAINT MICHAEL, MN 55376-9511
(612) 867-1135
Mailing address
2520 LANDER AVE NE, SAINT MICHAEL, MN 55376-9398
(612) 867-1335
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/18/2014
Last updated
01/08/2017
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