Individual
IVY ANDEROSN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
2937 LYNDALE AVE S, MINNEAPOLIS, MN 55408-2171
(612) 879-8000
Mailing address
841 ARMSTRONG AVE, SAINT PAUL, MN 55102-3815
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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