Individual provider · Type 1 NPI

Michelle Dana Wall

Massage Therapist · St. Louis Park, MN

NPI number 1104002716 Active

Practice location

4601 Excelsior Blvd, 407
St. Louis Park, MN 55416-4960

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1104002716

Michelle Dana Wall's National Provider Identifier is 1104002716, issued on Jan 14, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Louis Park, MN. The record was last updated on Jan 14, 2008.