Individual
JASON RONALD VANBEUSEKOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
2937 LYNDALE AVE S STE 201, MINNEAPOLIS, MN 55408-2177
(612) 590-6017
Mailing address
1523 ADAMS ST NE, MINNEAPOLIS, MN 55413-1443
(612) 590-6017
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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