IndividualActive
Amdemichael Retta
NPI 1447859467 · Massage Therapist · Saint Paul, MN
Provider details
- NPI number
- 1447859467
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1260 Larpenteur Ave W Apt 320
Saint Paul, MN 55113-6324
Phone: (651) 442-9103
Approximate (ZIP-level) locationGet directions
Mailing address
1260 Larpenteur Ave W Apt 320
Saint Paul, MN 55113-6324
Registry dates
- Enumerated
- 2020-10-21
- Last updated
- 2020-10-21
- Certified
- 2020-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.