John Carlson, N.C.B.T.M.B.
Massage Therapist in Minneapolis, MN. Individual provider (NPI-1).
NPI number1760620157
StatusActive
Last updated in NPPESJan 23, 2009
Details
- NPI
- 1760620157
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Carlson
- Credential
- N.C.B.T.M.B.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 23, 2009
- Last updated
- Jan 23, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
2409 Lyndale Ave SMinneapolis, MN 55405-3357
Phone 612-812-4101
Mailing address
10129 Eden Prairie RdEden Prairie, MN 55347-3919
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