MEDICARE: TIMOTHY FINN TURNER M.T.

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	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1780019638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY FINN TURNER M.T.

Provider Business Mailing Address
First Line	:	2821 35TH AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-1709
Country	:	US
Telephone Number	:	952-200-4649
Fax Number	:	612-870-1551

Provider Business Practice Location Address
First Line	:	2627 E FRANKLIN AVE
Second Line	:	SUITE 201
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-1167
Country	:	US
Telephone Number	:	952-200-4649
Fax Number	:	612-870-1551

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2013
Last Update Date	:	09/11/2013

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