Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. MUZIQUE LATISE BROADNAX, CMT, MMP,LMT,CA

Active Sole Proprietor

MS. MUZIQUE LATISE BROADNAX, CMT, MMP,LMT,CA is a Massage Therapist healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1285935726 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · MINNEAPOLIS, MN

Registration Details

NPI Number: 1285935726
Provider Type: Individual
Gender: Female
NPI Issued: Nov 16, 2010 (15.734265523661 yrs)
Last Updated: Sep 29, 2021
Licenses: 938479 (MN)

MT-27885 (AZ)
Sole Proprietor: Yes

Practice Information

Address: 2915 WAYZATA BLVD

304

MINNEAPOLIS, MN, 554052145
Browse MN providers · Browse ZIP 55405
Phone: 6123962016
Primary Specialty: Massage Therapist
225700000X
Additional Specialty: Massage Therapist

Other Massage Therapist Providers in MINNEAPOLIS, MN

Name	Credential	NPI
ANGELA M JOHNSON	MASSAGE THERAPIST	1942249560
LESLIE J KENNEY	—	1184668360
LIV SULERUD	NCTMB	1467757104
MS. FANNIE LIVADITIS	LMT	1346262250
JEAN MARY LINDQUIST	—	1447392220
MS. MARILYN R KALES	—	1194868745

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.