Individual
MR. JOHN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.C.B.T.M.B.
Contact information
Practice address
2409 LYNDALE AVE S, MINNEAPOLIS, MN 55405-3357
(612) 812-4101
Mailing address
10129 EDEN PRAIRIE RD, EDEN PRAIRIE, MN 55347-3919
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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