Organization
DYNAMIC JOURNEY MASSAGE & WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN SCARBOROUGH MT (OWNER/MASSAGE THERAPIST)
(952) 994-1790
Entity
Organization
Contact information
Practice address
1103 W BURNSVILLE PKWY STE 200, BURNSVILLE, MN 55337-5800
(952) 994-1790
(952) 746-2819
Mailing address
4219 HANREHAN TRL, SCARBOROUGH, SAVAGE, MN 55378-9786
(952) 994-1790
(952) 746-2819
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336478627
NPI
MN
01
—
1770812067
NPI
MN
Enumeration date
12/15/2009
Last updated
07/17/2012
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