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Mr. Unknown Azhari, CMT
Massage Therapist in St Louis Park, Minnesota
NPI 1023336005

Unknown Azhari is a Massage Therapist based in St Louis Park, MN. Unknown Azhari practices in St Louis Park, MN and has the professional credentials of CMT. The NPI Number for Unknown Azhari is 1023336005 and holds a License No. (Minnesota).

The current practice location address for Unknown Azhari is 5810 Excelsior Blvd, St Louis Park, MN and can be reached out via phone at 952-927-8686 and via fax at 952-927-8687.

Location: 5810 Excelsior Blvd, St Louis Park, MN, 55416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023336005
Provider Name
Unknown Azhari
Credential
CMT
Provider Entity Type
Individual
Gender
Male
Address
5810 Excelsior Blvd, St Louis Park, MN, 55416
Phone Number
952-927-8686
Fax Number
952-927-8687
Provider Enumeration Date
05/14/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5810 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55416
Phone Number
952-927-8686
Fax Number
952-927-8687
person
Provider Business Mailing Address Details
Address
5810 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55416
Phone Number
952-927-8686
Fax Number
952-927-8687
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
Definition
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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