Individual
KRISTINA THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
600 FORD ST E, NORTHFIELD, MN 55057-3275
(612) 327-9600
Mailing address
600 FORD ST E, NORTHFIELD, MN 55057-3275
(612) 327-9600
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1596
MN
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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