KYLE BLOM LMT
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1033978812- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMT
- Status
- Active
Contact & Location
- Address
- 7644 160TH ST W, LAKEVILLE, MN, 550444442
- Phone
- (952) 985-5444
Specialties & Taxonomies
Massage Therapist
Primary License: MN #2024
All Addresses
MAILING
7644 160TH ST W
LAKEVILLE, MN, 550444442