Individual provider · Type 1 NPI

Fannie Livaditis, LMT

Massage Therapist · Minneapolis, MN

NPI number 1346262250 Active

Practice location

2920 Bryant Ave S, Suite 102
Minneapolis, MN 55408-2195

Call (612) 578-5443 Map

Mailing address

1082 Kirkwood Dr
Eagan, MN 55123-1911

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 1346262250

Fannie Livaditis, LMT's National Provider Identifier is 1346262250, issued on Jul 24, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 8, 2007.