Massage On Mille Lacs

NPI #1912541897 in Isle, Minnesota

Provider Information

NPI Number: 1912541897
Entity Type: Organization
Organization Name: Massage On Mille Lacs
Primary Specialty: Massage Therapist
Enumeration Date: Nov 4, 2019
Last Updated: Nov 4, 2019

Practice Location

Address: 295 MAIN ST W # 851
City: Isle
State: Minnesota
ZIP Code: 56342-4919
Phone: (763) 219-0163

Authorized Official

Name: TRACY GALLATI, CMT
Title: OWNER
Phone: (763) 219-0163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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