Individual provider · Type 1 NPI

Mary R. Lesourd

Massage Therapist · Minnetonka, MN

NPI number 1871289959 Active

Practice location

12455 Ridgedale Dr Ste 203
Minnetonka, MN 55305-1786

Call (952) 314-7035 Map

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 1871289959

Mary R. Lesourd's National Provider Identifier is 1871289959, issued on Apr 12, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Minnetonka, MN. The record was last updated on Apr 12, 2023.