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MARISA KOLASA

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1295145886

Individual Registrant:
 MARISA  KOLASA 
Gender: F
Sole Proprietor

Location and contact information for practice:
22290 OAKDALE DRIVE  ROGERS, MN 55374 US
Tel: 612-710-4851  Fax: --

Contact information for business:
22290 OAKDALE DRIVE  ROGERS, MN 55374 US
Tel: 612-710-4851  Fax: --

Registration Information:
NPI: 1295145886
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
MN

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MN - Page 1

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