Provider First Line Business Practice Location Address:
IMPACT MASSAGE AND BODYWORKS, ST. LOUIS PARK
Provider Second Line Business Practice Location Address:
6250 EXCELSIOR BLVD STE 103
Provider Business Practice Location Address City Name:
ST. LOUIS PARK
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55416
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
763-614-0363
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/18/2024