Individual provider · Type 1 NPI

Simona Rae Whiley, CMT

Massage Therapist · Wayzata, MN

NPI number 1861792376 Active

Practice location

109 Bushaway Rd, Suite 200
Wayzata, MN 55391-1945

Call (612) 387-6044 Map

Mailing address

3251 Louisiana Ave S, Unit 307
St. Louis Park, MN 55426-4263

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2010-81 (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 1861792376

Simona Rae Whiley, CMT's National Provider Identifier is 1861792376, issued on Oct 31, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wayzata, MN. The record was last updated on Oct 31, 2010.