Individual
MISS KRISTA EMILY SAMUELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10165 HENNEPIN TOWN RD, EDEN PRAIRIE, MN 55347-3104
(952) 405-6220
Mailing address
10165 HENNEPIN TOWN RD, EDEN PRAIRIE, MN 55347-3104
(952) 405-6220
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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