Jennifer Marie Wallin CMT

NPI 1386895134 - Massage Therapist - 225700000X

NPI Details
NPI 1386895134
Gender Female
Enumeration Date 10/09/2008
Last Updated 12/12/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
205 DIVISION ST S
NORTHFIELD MN, 55057-2014, US
Phone (507) 645-8242
Fax (507) 645-8242
Business Location
13916 FALK AVE
NORTHFIELD MN, 55057-4628, US
Phone (507) 645-8242
Fax (507) 645-8242
Toxanomy
Taxonomy Code 225700000X
License State Minnesota
License Number 557945-08
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According to our database, Mrs. Jennifer Marie Wallin CMT NPI is 1386895134, taxonomy code is 225700000X and license number is 557945-08, license state is located at Minnesota. Jennifer Marie Wallin CMT physically located at 205 Division St S, Northfield MN, 55057-2014. NPI Number Jennifer Marie Wallin CMT has the Individual type.

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1386895134 NPI number is provided on an as is basis without warranty of any kind. 1386895134 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Marie Wallin CMT are for informational purposes only.