Individual
JASON THOMAS LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
1011 41ST AVE NE APT 204, COLUMBIA HEIGHTS, MN 55421-3168
(612) 747-2430
Mailing address
1011 41ST AVE NE APT 204, COLUMBIA HEIGHTS, MN 55421-3168
(612) 747-2430
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1786
MN
225700000X
Massage Therapist
—
—
Other
Enumeration date
02/02/2010
Last updated
08/03/2022
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