Provider Demographics
NPI:1427553726
Name:IMPROVED HEALTH THERAPEUTIC MASSAGE
Entity Type:Organization
Organization Name:IMPROVED HEALTH THERAPEUTIC MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANICA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRIZIC
Authorized Official - Suffix:
Authorized Official - Credentials:MASSAGE THERAPIST
Authorized Official - Phone:952-255-9399
Mailing Address - Street 1:5009 EXCELSIOR BLVD STE 141
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-3035
Mailing Address - Country:US
Mailing Address - Phone:952-255-9399
Mailing Address - Fax:
Practice Address - Street 1:5009 EXCELSIOR BLVD STE 141
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-3035
Practice Address - Country:US
Practice Address - Phone:952-255-9399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN00042881261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service