Healthcare Provider Details

I. General information

NPI: 1023998556
Provider Name (Legal Business Name): CARA ELIZABETH MACH BCTMB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 HILL ST E
NORWOOD YOUNG AMERICA MN
55368-4565
US

IV. Provider business mailing address

320 HILL ST E
NORWOOD YOUNG AMERICA MN
55368-4565
US

V. Phone/Fax

Practice location:
  • Phone: 952-467-2505
  • Fax:
Mailing address:
  • Phone: 952-467-2505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: