MS. MUZIQUE LATISE BROADNAX CMT MMPLMTCA NPI 1285935726

NPI Information

  • NPI: 1285935726
  • Provider Name: MS. MUZIQUE LATISE BROADNAX, CMT, MMP,LMT,CA
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 2915 WAYZATA BLVD
    304
    MINNEAPOLIS, MN
    ZIP 55405
  • Phone: (612) 396-2016

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NPI Details

MS. Muzique Latise Broadnax, CMT, MMP,LMT,CA is a massage therapist in Minneapolis, 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. MS. Muzique Latise Broadnax, CMT, MMP,LMT,CA NPI is 1285935726. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2915 WAYZATA BLVD
304
MINNEAPOLIS, MN
ZIP 55405-145
Phone: (612) 396-2016

The enumeration date for this NPI number is 11/16/2010 and was last updated on 9/29/2021.

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
1175L00000XHomeopath938479MINNESOTANo
2225700000XMassage TherapistMT-27885ARIZONAYes

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: 3/30/2025

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