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Kelly Marie Severson
Massage Therapist in Blaine, Minnesota
NPI 1538486428

Kelly Marie Severson is a Massage Therapist based in Blaine, MN. Kelly Marie Severson practices in Blaine, MN. The NPI Number for Kelly Marie Severson is 1538486428 and holds a License No. (Minnesota).

The current practice location address for Kelly Marie Severson is 1061 109Th Ave Ne Ste D, Blaine, MN and can be reached out via phone at 612-203-4835.

Location: 1061 109Th Ave Ne Ste D, Blaine, MN, 55434-3847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538486428
Provider Name
Kelly Marie Severson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1061 109Th Ave Ne Ste D, Blaine, MN, 55434-3847
Phone Number
612-203-4835
Fax Number
Provider Enumeration Date
05/01/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1061 109Th Ave Ne Ste D
City
Blaine
State
Minnesota
Zip
55434-3847
Phone Number
612-203-4835
Fax Number
person
Provider Business Mailing Address Details
Address
1061 109Th Ave Ne Ste D
City
Blaine
State
Minnesota
Zip
55434-3847
Phone Number
612-203-4835
Fax Number
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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