Individual provider · Type 1 NPI

Amdemichael Retta

Massage Therapist · St. Paul, MN

NPI number 1447859467 Active

Practice location

1260 Larpenteur Ave W Apt 320
St. Paul, MN 55113-6324

Call (651) 442-9103 Map

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 1447859467

Amdemichael Retta's National Provider Identifier is 1447859467, issued on Oct 21, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Paul, MN. The record was last updated on Oct 21, 2020.