NPI 1063658748

Kristine Ann O'Brion, CREDIFIEDMASSAGETH

Practitioner Contractor Prior Lake, MN

Practice location

Address: 16724 Brunswick Ave SE APT 104, Prior Lake, MN 55372-3989
Phone: (612) 751-1925

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1063658748
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Dec 2008
Record last updated: 30 Dec 2008

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.