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Crystal Rose Dietrich, CMT
Massage Therapist in Upsala, Minnesota
NPI 1396194056

Crystal Rose Dietrich is a Massage Therapist based in Upsala, MN. Crystal Rose Dietrich practices in Upsala, MN and has the professional credentials of CMT. The NPI Number for Crystal Rose Dietrich is 1396194056 and holds a License No. (Minnesota).

The current practice location address for Crystal Rose Dietrich is 204 Borgstrom St, Upsala, MN and can be reached out via phone at 320-733-0153.

Location: 204 Borgstrom St, Upsala, MN, 56384-0152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396194056
Provider Name
Crystal Rose Dietrich
Credential
CMT
Provider Entity Type
Individual
Gender
Female
Address
204 Borgstrom St, Upsala, MN, 56384-0152
Phone Number
320-733-0153
Fax Number
Provider Enumeration Date
06/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
204 Borgstrom St
City
Upsala
State
Minnesota
Zip
56384-4501
Phone Number
320-733-0153
Fax Number
person
Provider Business Mailing Address Details
Address
204 Borgstrom St
City
Upsala
State
Minnesota
Zip
56384-4501
Phone Number
320-733-0153
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
(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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