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NPI Profile for DAVID A WICKLUND in MINNEAPOLIS, 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 # | 1902171416 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/16/2012 | |
| Last updated | 03/16/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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DAVID A WICKLUND
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DAVID A WICKLUND