Levirg.inc

NPI #1164897120 in Blaine, Minnesota

Provider Information

NPI Number: 1164897120
Entity Type: Organization
Organization Name: Levirg.inc
Primary Specialty: Massage Therapist
Enumeration Date: Dec 2, 2015
Last Updated: Dec 2, 2015

Practice Location

Address: 11806 ABERDEEN ST NE
Address 2: SUITE 180
City: Blaine
State: Minnesota
ZIP Code: 55449-4736
Phone: (763) 333-2690

Authorized Official

Name: LORETTA JANE BROUILLETTE, CMT
Title: OWNER/THERAPIST
Phone: (763) 333-2690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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