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Edwinna Gates Sackariason, LMT
Massage Therapist in New Brighton, Minnesota
NPI 1437467107

Edwinna Gates Sackariason is a Massage Therapist based in New Brighton, MN. Edwinna Gates Sackariason practices in New Brighton, MN and has the professional credentials of LMT. The NPI Number for Edwinna Gates Sackariason is 1437467107 and holds a License No. MA8782 (Minnesota).

The current practice location address for Edwinna Gates Sackariason is 1901 Fredeen Ct, New Brighton, MN and can be reached out via phone at 651-653-0786 and via fax at 651-762-7944.

Location: 1901 Fredeen Ct, New Brighton, MN, 55112-2412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437467107
Provider Name
Edwinna Gates Sackariason
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1901 Fredeen Ct, New Brighton, MN, 55112-2412
Phone Number
651-653-0786
Fax Number
651-762-7944
Provider Enumeration Date
09/15/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103503 01 MN ABMP
7068-00 01 MN NCTMB
MA8782 01 FL LICENSE
institution
Provider Business Practice Location Address Details
Address
1901 Fredeen Ct
City
New Brighton
State
Minnesota
Zip
55112-2412
Phone Number
651-653-0786
Fax Number
651-762-7944
person
Provider Business Mailing Address Details
Address
1901 Fredeen Ct
City
New Brighton
State
Minnesota
Zip
55112-2412
Phone Number
651-653-0786
Fax Number
651-762-7944
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA8782 (Florida)
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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