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NPI Code Detail

MEDICARE: ROSE ANNE JANSSEN CMT

MEDICARE:   ROSE ANNE JANSSEN  CMT
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
1225700000XMassage Therapist

General Provider Information

NPI Number : 1194904235
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSE ANNE JANSSEN CMT
Provider Business Mailing Address
First Line : 1511 E MINNESOTA ST
Second Line : PO BOX 188
City : SAINT JOSEPH
State : MN
Zip : 56374-8618
Country : US
Telephone Number : 320-363-7460
Fax Number :
Provider Business Practice Location Address
First Line : 1511 E MINNESOTA ST
Second Line :
City : SAINT JOSEPH
State : MN
Zip : 56374-8618
Country : US
Telephone Number : 320-363-7460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2007
Last Update Date : 10/25/2007

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Directions to “ ROSE ANNE JANSSEN CMT” Practice Location

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