MR. UNKNOWN AZHARI CMT NPI 1023336005

NPI Information

NPI: 1023336005
Provider Name: MR. UNKNOWN AZHARI, CMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
5810 EXCELSIOR BLVD
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 927-8686
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MR. Unknown Azhari, CMT is a massage therapist in St Louis Park, MN. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MR. Unknown Azhari, CMT NPI is 1023336005. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5810 EXCELSIOR BLVD
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 927-8686
Fax: (952) 927-8687

The enumeration date for this NPI number is 5/14/2010 and was last updated on 5/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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