Unknown Azhari CMT

NPI 1023336005 - Massage Therapist - 225700000X

NPI Details
NPI 1023336005
Gender Male
Enumeration Date 05/14/2010
Last Updated 05/21/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
5810 EXCELSIOR BLVD
ST LOUIS PARK MN, 55416, US
Phone (952) 927-8686
Fax (952) 927-8687
Business Location
5810 EXCELSIOR BLVD
ST LOUIS PARK MN, 55416, US
Phone (952) 927-8686
Fax (952) 927-8687
Toxanomy
Taxonomy Code 225700000X
License State
License Number
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According to our database, Mr. Unknown Azhari CMT NPI is 1023336005, taxonomy code is 225700000X Unknown Azhari CMT physically located at 5810 Excelsior Blvd, St Louis Park MN, 55416. NPI Number Unknown Azhari CMT has the Individual type.

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1023336005 NPI number is provided on an as is basis without warranty of any kind. 1023336005 is maintained by the National Plan & Provider Enumeration System. The contents of Unknown Azhari CMT are for informational purposes only.