Individual provider · Type 1 NPI

Chollada Morpan Phan

Massage Therapist · Edina, MN

NPI number 1821388026 Active

Practice location

1675 Southdale Ctr
Edina, MN 55435-7015

Call (952) 922-3600 Map

Fax (952) 922-3600

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X1109026930 (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 1821388026

Chollada Morpan Phan's National Provider Identifier is 1821388026, issued on Apr 9, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Edina, MN. The record was last updated on Apr 9, 2011.