| NPI | 1598079683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JOSEPH GROSAM President 952-935-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MN 1456) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MN 1674) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |