Individual
SARAH VENNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT, CNMT
Contact information
Practice address
6400 FLYING CLOUD DR, SUITE 240, EDEN PRAIRIE, MN 55433
(952) 412-8727
Mailing address
6400 FLYING CLOUD DR STE 240, EDEN PRAIRIE, MN 55344-3326
(952) 412-8727
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1338393
AMTA
MN
Enumeration date
08/13/2018
Last updated
08/13/2018
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