NPI 1003650029

Gordon Stram

Practitioner Massage Therapist Grand Rapids, MN

Practice location

Address: 1404 NW 4th St, Grand Rapids, MN 55744-2212
Phone: (218) 327-0875
Mailing address: 1125 SW 1st St, Grand Rapids, MN 55744-3407

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

Other Massage Therapist providers in Minnesota →

Registry record

NPI: 1003650029
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jun 2024
Record last updated: 24 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.