Individual
TRACEY LORRAINE WIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
8421 WAYZATA BLVD STE 220, GOLDEN VALLEY, MN 55426-1380
(763) 458-5875
(952) 253-3882
Mailing address
8421 WAYZATA BLVD STE 220, GOLDEN VALLEY, MN 55426-1380
(763) 458-5875
(952) 253-3882
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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