NPI 1386895134

Jennifer Marie Wallin, CMT

Practitioner Massage Therapist Northfield, MN

Practice location

Address: 205 Division St S, Northfield, MN 55057-2014
Phone: (507) 645-8242
Fax: (507) 645-8242
Mailing address: 13916 Falk Ave, Northfield, MN 55057-4628

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 557945-08 (MN)

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Registry record

NPI: 1386895134
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Oct 2008
Record last updated: 12 Dec 2009

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.