Laura Jean Abernathy, LMT

Individual provider Active NPI Massage Therapist · Woodbury, MN

NPI 1043846751 · NPPES record last updated Mar 14, 2020

Key facts

NPI
1043846751
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
927216 (MN)
Practice address
7803 Afton Rd Ste 17
Woodbury, MN 55125-1507
Phone
(651) 226-7392
NPI assigned
Mar 14, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
927216MNMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225700000X 927216 MN Yes

Addresses

Primary practice location

7803 Afton Rd Ste 17
Woodbury, MN 55125-1507

Mailing address

70 Oday St N
Maplewood, MN 55119-4727
Phone (651) 226-7392

Other providers in Woodbury, MN

All providers in Woodbury, MN · Massage Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.