NPI 1124593561

Lowell B Hansen

Practitioner Massage Therapist Isanti, MN

Practice location

Address: 4 Enterprise Ave NE, Isanti, MN 55040-6813
Phone: (763) 552-6161

Registered specialties

Massage Therapist Primary

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

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Registry record

NPI: 1124593561
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2018
Record last updated: 12 Oct 2018

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.