Provider Demographics
NPI:1669717310
Name:SIMAS GUTHRIE, ROSE MARIE (CMT)
Entity type:Individual
Prefix:MISS
First Name:ROSE
Middle Name:MARIE
Last Name:SIMAS GUTHRIE
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2721 E 42ND ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-3070
Mailing Address - Country:US
Mailing Address - Phone:612-719-9605
Mailing Address - Fax:
Practice Address - Street 1:2721 E 42ND ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-3070
Practice Address - Country:US
Practice Address - Phone:612-719-9605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist