Provider Demographics
NPI:1487306304
Name:TOROLA, JO ELLEN (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:JO ELLEN
Middle Name:
Last Name:TOROLA
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13690 ROGERS DR STE 180
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:MN
Mailing Address - Zip Code:55374-9309
Mailing Address - Country:US
Mailing Address - Phone:763-432-9866
Mailing Address - Fax:
Practice Address - Street 1:13690 ROGERS DR STE 180
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:MN
Practice Address - Zip Code:55374-9309
Practice Address - Country:US
Practice Address - Phone:763-432-9866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-21
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist