MEDICARE: IMPROVED HEALTH THERAPEUTIC MASSAGE

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
1	261QH0100X	Health Service Clinic/Center	00042881	MN

General Provider Information

NPI Number	:	1427553726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMPROVED HEALTH THERAPEUTIC MASSAGE

Provider Business Mailing Address
First Line	:	5009 EXCELSIOR BLVD STE 141
Second Line	:
City	:	ST LOUIS PARK
State	:	MN
Zip	:	55416-3035
Country	:	US
Telephone Number	:	952-255-9399
Fax Number	:

Provider Business Practice Location Address
First Line	:	5009 EXCELSIOR BLVD STE 141
Second Line	:
City	:	ST LOUIS PARK
State	:	MN
Zip	:	55416-3035
Country	:	US
Telephone Number	:	952-255-9399
Fax Number	:

Authorized Official
Title or Position	:	MASSAGE THERAPIST/OWNER
Name	:	DANICA KRIZIC
Credential	:	MASSAGE THERAPIST
Telephone Number	:	952-255-9399

Provider Enumeration Date	:	03/28/2018
Last Update Date	:	03/28/2018

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