NPI 1245403104

Lara True Thao, MT

Practitioner Mechanotherapist Saint Paul, MN

Practice location

Address: 1408 Arcade St, Saint Paul, MN 55106-1823
Phone: (651) 771-2012
Fax: (651) 771-8747

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X

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Registry record

NPI: 1245403104
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Apr 2008
Record last updated: 10 Apr 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.