| NPI | 1104228584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY P HOWARD Billing Manager 763-420-8595 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MN 2014-99) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |