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General NPI Number Information
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NPI Number | 1144198714
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Entity Type | Organization
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Legal Business Name | HEALTHYSELF THERAPEUTIC MASSAGE
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 1931 UNIVERSITY AVE NE
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City | MINNEAPOLIS
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State | MN
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Zip | 55418-4337
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Country | US
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Telephone | 612-308-4491
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Fax |
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Provider Business Mailing Address
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Address Line | 854 225TH LN NW
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City | BETHEL
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State | MN
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Zip | 55005-9539
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Country | US
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Telephone | 612-308-4491
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LEIGH TRACY WELCH
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Credential | MASSAGE THERAPIST
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Telephone | 612-308-4491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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