| NPI | 1760124150 |
|---|---|
| Doing Business As | INDIGO WATERS WELLNESS |
| Entity Type | Organization |
| Authorized Contact | CARRIE BRENNAN Owner/Therapist 612-234-2301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-04-07 |