Individual
TREECE MARY KAMPMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
311 RAMSEY ST, SAINT PAUL, MN 55102-2323
(651) 222-5552
Mailing address
1851 COVINGTON LN, EAGAN, MN 55122-2682
(651) 905-9053
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
83851
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3188517
STATE TAX IDENTIFICATION
MN
01
—
406311
ABMP
—
Enumeration date
12/04/2006
Last updated
07/08/2007
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