Jamie Lynn Neisen, LMT

NPI #1225379753 in Excelsior, Minnesota

Provider Information

NPI Number: 1225379753
Entity Type: Individual
Name: Jamie Lynn Neisen, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 7, 2013
Last Updated: Mar 7, 2013

Practice Location

Address: 23505 SMITHTOWN RD STE 100
City: Excelsior
State: Minnesota
ZIP Code: 55331-4542
Phone: (952) 470-8555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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