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Nicolette Ronaye Roberts
Massage Therapist in Grand Rapids, Minnesota
NPI 1467638627

Nicolette Ronaye Roberts is a Massage Therapist based in Grand Rapids, MN. Nicolette Ronaye Roberts practices in Grand Rapids, MN. The NPI Number for Nicolette Ronaye Roberts is 1467638627 and holds a License No. 20050045 (Minnesota).

The current practice location address for Nicolette Ronaye Roberts is 218 Pokegama Ave N, Grand Rapids, MN and can be reached out via phone at 218-326-9453 and via fax at 218-326-9453.

Location: 218 Pokegama Ave N, Grand Rapids, MN, 55744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467638627
Provider Name
Nicolette Ronaye Roberts
Credential
Provider Entity Type
Individual
Gender
Female
Address
218 Pokegama Ave N, Grand Rapids, MN, 55744
Phone Number
218-326-9453
Fax Number
218-326-9453
Provider Enumeration Date
01/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20050045 01 AMMA
institution
Provider Business Practice Location Address Details
Address
218 Pokegama Ave N
City
Grand Rapids
State
Minnesota
Zip
55744
Phone Number
218-326-9453
Fax Number
218-326-9453
person
Provider Business Mailing Address Details
Address
218 Pokegama Ave N
City
Grand Rapids
State
Minnesota
Zip
55744
Phone Number
218-326-9453
Fax Number
218-326-9453
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
20050045 ()
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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