MR. Unknown Azhari, CMT
NPI #1023336005 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1023336005
- Entity Type
- Individual
- Name
- MR. Unknown Azhari, CMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- CMT
- Enumeration Date
- May 14, 2010
- Last Updated
- May 21, 2010
Practice Location
- Address
- 5810 EXCELSIOR BLVD
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416
- Phone
- (952) 927-8686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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