Individual
MISS PARPRIORN CHAKKAPARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
6420 W LAKE ST, ST LOUIS PARK, MN 55426-4243
(952) 926-2411
(952) 926-2511
Mailing address
6420 W LAKE ST, ST LOUIS PARK, MN 55426-4243
(952) 926-2411
(952) 926-2511
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15303
MN
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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