Individual provider · Type 1 NPI
John Carlson, N.C.B.T.M.B.
Massage Therapist · Minneapolis, MN
NPI number
1760620157
Active
Practice location
2409 Lyndale Ave S
Minneapolis, MN 55405-3357
Mailing address
10129 Eden Prairie Rd
Eden Prairie, MN 55347-3919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None 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 1760620157
John Carlson, N.C.B.T.M.B.'s National Provider Identifier is 1760620157, issued on Jan 23, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Minneapolis, MN. The record was last updated on Jan 23, 2009.