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Individual

MICHELLE MARIE HODAPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCTMB, CSCS

Contact information

Practice address
1550 UTICA AVE S, ST LOUIS PARK, MN 55416-5312
(612) 207-1609
Mailing address
11432 MINNETONKA MILLS RD, MINNETONKA, MN 55305-5153
(612) 207-1609

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
03/31/2022
Last updated
03/31/2022
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