Organization · Type 2 NPI

Andrea White

Massage Therapist · Maple Grove, MN

NPI number 1104228584 Active

Practice location

7237 Forestview Ln N
Maple Grove, MN 55369-5501

Call (763) 420-8595 Map

Fax (763) 420-2029

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2014-99 (MN)

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 1104228584

Andrea White's National Provider Identifier is 1104228584, issued on Sep 17, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Maple Grove, MN. The record was last updated on Sep 17, 2014.