Individual
NICK ALLEN CRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4319 CLEMSON CIR, EAGAN, MN 55122-4818
(952) 484-6314
Mailing address
4590 SCOTT TRL STE 110, EAGAN, MN 55122-4041
(651) 454-1000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1234
MN
Other
Enumeration date
12/18/2021
Last updated
12/18/2021
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