Michelle Dana Wall
NPI #1104002716 in Saint Louis Park, Minnesota
Provider Information
- NPI Number
- 1104002716
- Entity Type
- Individual
- Name
- Michelle Dana Wall
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Jan 14, 2008
- Last Updated
- Jan 14, 2008
Practice Location
- Address
- 4601 EXCELSIOR BLVD
- Address 2
- 407
- City
- Saint Louis Park
- State
- Minnesota
- ZIP Code
- 55416-4960
- Phone
- (612) 296-5174
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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