Individual provider · Type 1 NPI

Bridget Kay Wickstrom

Massage Therapist · Coon Rapids, MN

NPI number 1689017139 Active

Practice location

1720 124th Ave NW
Coon Rapids, MN 55448-1955

Call (651) 338-9104 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 1689017139

Bridget Kay Wickstrom's National Provider Identifier is 1689017139, issued on Apr 15, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Coon Rapids, MN. The record was last updated on Apr 15, 2013.