| NPI | 1396722674 |
|---|---|
| Former Name | NANCY L JONSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 5018) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2024-01-05 |