Individual
MS. KATHLEEN ANN CHUPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
16510 TRANQUILITY CT SE, #206, PRIOR LAKE, MN 55372-4452
(952) 440-3507
Mailing address
16510 TRANQUILITY CT SE, #206, PRIOR LAKE, MN 55372-4452
(952) 440-3507
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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