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SIMPLY DEVINE MASSAGE THERAPY LLC NPI 1366778615


NPI Information

NPI: 1366778615
Provider Name: SIMPLY DEVINE MASSAGE THERAPY, LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
5009 EXCELSIOR BLVD
SUITE 152
ST LOUIS PARK, MN
ZIP 55416
Phone: (612) 599-8768
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SIMPLY DEVINE MASSAGE THERAPY, LLC 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. SIMPLY DEVINE MASSAGE THERAPY, LLC NPI is 1366778615. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5009 EXCELSIOR BLVD
SUITE 152
ST LOUIS PARK, MN
ZIP 55416-041
Phone: (612) 599-8768
Fax: (763) 535-8511

The provider's authorized official is Erin Devine Parker .
The authorized official title is President/owner and has the following contact phone number (612) 599-8768.

The enumeration date for this NPI number is 10/21/2009 and was last updated on 10/21/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage TherapistYes

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

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