Individual
MR. JOSHUA REVERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
2001 STOCKINGER DR STE 101, SAINT CLOUD, MN 56303-1243
(320) 200-3236
Mailing address
36208 COUNTY ROAD 4, SAINT JOESEPH, MN 56374-4602
(507) 227-5324
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1511
MN
225700000X
Massage Therapist
171040
MN
Other
Enumeration date
11/23/2010
Last updated
03/17/2018
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