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Contact Information

TRESSA D WEEDEN BOOTZ, CMT, LMT
112 W 2ND ST
CHASKA, MN55318-2635
 Phone: 952-220-5938
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
 

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
 

Neuromusculoskeletal Medicine, Sports Medicine

204C00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for TRESSA D WEEDEN BOOTZ · (Female)

NPI # 1457963191
Status Active
Credentials CMT, LMT
Entity Individual
Enumeration date 08/22/2020
Last updated 03/08/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 00000000
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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