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General NPI Number Information
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NPI Number | 1851256382
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Entity Type | Individual
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Provider Name | CONNOR REIMER CMT
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Gender | Male
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 4632 85TH AVE N
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-1957
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Country | US
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Telephone | 763-494-4900
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Fax | 763-494-4902
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Provider Business Mailing Address
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Address Line | 4632 85TH AVE N
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-1957
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Country | US
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Telephone | 763-494-4900
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Fax | 763-494-4902
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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