Provider Demographics
NPI:1811467921
Name:FUREY, VIRGINIA JOAN (CMT)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:JOAN
Last Name:FUREY
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 1:229 MONROE AVE N
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-8338
Mailing Address - Country:US
Mailing Address - Phone:612-991-6924
Mailing Address - Fax:
Practice Address - Street 1:229 MONROE AVE N
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-8338
Practice Address - Country:US
Practice Address - Phone:612-991-6924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-01
Last Update Date:2018-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2018-05204225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist