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Chollada Morpan Phan
Massage Therapist in Edina, Minnesota
NPI 1821388026

Chollada Morpan Phan is a Massage Therapist based in Edina, MN. Chollada Morpan Phan practices in Edina, MN. The NPI Number for Chollada Morpan Phan is 1821388026 and holds a License No. 1109026930 (Minnesota).

The current practice location address for Chollada Morpan Phan is 1675 Southdale Ctr, Edina, MN and can be reached out via phone at 952-922-3600 and via fax at 952-922-3600.

Location: 1675 Southdale Ctr, Edina, MN, 55435-7015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821388026
Provider Name
Chollada Morpan Phan
Credential
Provider Entity Type
Individual
Gender
Female
Address
1675 Southdale Ctr, Edina, MN, 55435-7015
Phone Number
952-922-3600
Fax Number
952-922-3600
Provider Enumeration Date
04/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1675 Southdale Ctr
City
Edina
State
Minnesota
Zip
55435-7015
Phone Number
952-922-3600
Fax Number
952-922-3600
person
Provider Business Mailing Address Details
Address
1675 Southdale Ctr
City
Edina
State
Minnesota
Zip
55435-7015
Phone Number
952-922-3600
Fax Number
952-922-3600
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
1109026930 (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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