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Eileen Carol Mumford, LMT
Massage Therapist in Eagan, Minnesota
NPI 1851090039

Eileen Carol Mumford is a Massage Therapist based in Lakeville, MN. Eileen Carol Mumford practices in Eagan, MN and has the professional credentials of LMT. The NPI Number for Eileen Carol Mumford is 1851090039 and holds a License No. 00005509 (Minnesota).

The current practice location address for Eileen Carol Mumford is 1012 Diffley Rd, Eagan, MN and can be reached out via phone at 612-913-2714. You can also correspond with Eileen Carol Mumford through the mailing address at 18519 ORCHARD TRL, LAKEVILLE, MN - 55044-6621 (mailing address contact number: 612-913-2714).

Location: 1012 Diffley Rd, Eagan, MN, 55044-6621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851090039
Provider Name
Eileen Carol Mumford
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1012 Diffley Rd, Eagan, MN, 55044-6621
Phone Number
612-913-2714
Fax Number
Provider Enumeration Date
02/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1012 Diffley Rd
City
Eagan
State
Minnesota
Zip
55123-1778
Phone Number
612-913-2714
Fax Number
person
Provider Business Mailing Address Details
Address
1012 Diffley Rd
City
Eagan
State
Minnesota
Zip
55123-1778
Phone Number
612-913-2714
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
00005509 (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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