Individual
AMANDA MARIE THEILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 3RD AVE NE, FREEPORT, MN 56331-9017
(320) 237-2523
Mailing address
103 3RD AVE NE, FREEPORT, MN 56331-9017
(320) 237-2523
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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