Individual
KATIE LOCKE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 602, BRAINERD, MN 56401-0602
(612) 868-0843
Mailing address
PO BOX 602, BRAINERD, MN 56401-0602
(218) 828-1216
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
2522445
MN
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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