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NPI Profile for DIADRA DECKER in ROSEVILLE, MN.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Massage Therapist |
225700000X |
| NPI # | 1467638239 |
|
| Status | Active | |
| Credentials | LMT (Licensed Massage Therapist) | |
| Entity | Individual | |
| Enumeration date | 01/11/2008 | |
| Last updated | 01/11/2008 - About 18 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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DIADRA DECKER
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DIADRA DECKER, LMT