NPI 1417480104

Rachel Roller

Practitioner Mechanotherapist Maple Grove, MN

Practice location

Address: 7237 Forestview Ln N, Maple Grove, MN 55369-5501
Phone: (763) 420-8595

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 2017-112 (MN)

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Registry record

NPI: 1417480104
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Apr 2017
Record last updated: 10 Apr 2017

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.