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Diane Faye Girod, LMT,NCTMB
Massage Therapist in St Paul, Minnesota
NPI 1073717971

Diane Faye Girod is a Massage Therapist based in St Paul, MN. Diane Faye Girod practices in St Paul, MN and has the professional credentials of LMT,NCTMB. The NPI Number for Diane Faye Girod is 1073717971 and holds a License No. NA (Minnesota).

The current practice location address for Diane Faye Girod is 1635 Dayton Ave, St Paul, MN and can be reached out via phone at 651-631-1751 and via fax at 651-631-1751.

Location: 1635 Dayton Ave, St Paul, MN, 55104-6277
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073717971
Provider Name
Diane Faye Girod
Credential
LMT,NCTMB
Provider Entity Type
Individual
Gender
Female
Address
1635 Dayton Ave, St Paul, MN, 55104-6277
Phone Number
651-631-1751
Fax Number
651-631-1751
Provider Enumeration Date
06/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2881635 01 MN MN CARE STATE TAX ID
institution
Provider Business Practice Location Address Details
Address
1635 Dayton Ave
City
St Paul
State
Minnesota
Zip
55104-6277
Phone Number
651-631-1751
Fax Number
651-631-1751
person
Provider Business Mailing Address Details
Address
1635 Dayton Ave
City
St Paul
State
Minnesota
Zip
55104-6277
Phone Number
651-631-1751
Fax Number
651-631-1751
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
NA (Minnesota)
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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