Individual provider · Type 1 NPI

Gordon Stram

Massage Therapist · Grand Rapids, MN

NPI number 1003650029 Active

Practice location

1404 NW 4th St
Grand Rapids, MN 55744-2212

Mailing address

1125 SW 1st St
Grand Rapids, MN 55744-3407

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1003650029

Gordon Stram's National Provider Identifier is 1003650029, issued on Jun 24, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Grand Rapids, MN. The record was last updated on Jun 24, 2024.