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NPI Code Detail

MEDICARE: QUINNISHA REGINA-NIKI HUNTER

MEDICARE: QUINNISHA REGINA-NIKI HUNTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMN

General Provider Information

NPI Number : 1316739691
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUINNISHA REGINA-NIKI HUNTER
Provider Business Mailing Address
First Line : 8001 GEORGIA AVE N
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55445-2633
Country : US
Telephone Number : 612-730-1011
Fax Number : 612-730-1011
Provider Business Practice Location Address
First Line : 4632 85TH AVE N
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55443-1957
Country : US
Telephone Number : 763-494-4900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2025
Last Update Date : 05/21/2025

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Directions to “ QUINNISHA REGINA-NIKI HUNTER ” Practice Location

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