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Contact Information

UNKNOWN AZHARI, CMT
5810 EXCELSIOR BLVD
SAINT LOUIS PARK, MN55416
 Phone: 952-927-8686
 Fax: 952-927-8687
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for UNKNOWN AZHARI · (Male)

NPI Number 1023336005
Status Active
Credentials CMT
Entity Individual
Enumeration date 05/14/2010
Last updated 05/21/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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