Individual
MISS KATRINA JEAN CORDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2550 UNIVERSITY AVE W # 244SOUTH, SAINT PAUL, MN 55114-1052
(612) 208-2673
Mailing address
405 LAKE BLVD NW, BUFFALO, MN 55313-1041
(612) 730-6710
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20160000935
MN
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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