NPI 1255784591

Martin J Janowak, LMTCSTBCTMB

Practitioner Mechanotherapist Plymouth, MN

Practice location

Address: 6125 Ives Ln N, Plymouth, MN 55442-1248
Phone: (612) 222-6221

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MT3400695 (MN)

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Registry record

NPI: 1255784591
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2016
Record last updated: 21 Jul 2016

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.