Cory Blauvelt
Massage Therapist in Bloomington, MN. Individual provider (NPI-1).
NPI number1497020002
StatusActive
Last updated in NPPESMar 14, 2012
Details
- NPI
- 1497020002
- Entity type
- Individual (NPI-1)
- Name
- Cory Blauvelt
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 14, 2012
- Last updated
- Mar 14, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
5001 American Blvd W Ste 945Bloomington, MN 55437-1162
Phone 952-835-6653 · Fax 952-835-3895
Mailing address
5001 American Blvd W Ste 945Bloomington, MN 55437-1162
Phone 952-835-6653 · Fax 952-835-3895
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