Individual
PEGGY MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 WAYZATA BLVD, WAYZATA, MN 55391-1939
(952) 473-9637
Mailing address
1421 WAYZATA BLVD, WAYZATA, MN 55391-1939
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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