Individual provider · Type 1 NPI

Lillian Musungu Shiraku

Massage Therapist · Maple Grove, MN

NPI number 1871108704 Active

Practice location

12970 63rd Ave N
Maple Grove, MN 55369-6001

Call (507) 513-1860 Map

Mailing address

1363 10th St NW Apt 301
St. Paul, MN 55112-6747

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 1871108704

Lillian Musungu Shiraku's National Provider Identifier is 1871108704, issued on Sep 8, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Maple Grove, MN. The record was last updated on Sep 8, 2020.