Individual provider · Type 1 NPI

Anthony James Dovolos

Massage Therapist · Minneapolis, MN

NPI number 1700396249 Active

Practice location

2937 Lyndale Ave S Ste B002C
Minneapolis, MN 55408-2171

Call (612) 879-8000 Map

Fax (612) 879-8000

Mailing address

1357 Idaho Ave S
St. Louis Park, MN 55426-2207

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X9522886958 (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 1700396249

Anthony James Dovolos's National Provider Identifier is 1700396249, issued on Oct 11, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 11, 2017.