DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHELLE DANA WALL

Active Sole Proprietor

MICHELLE DANA WALL is a Massage Therapist healthcare provider located in SAINT LOUIS PARK, Minnesota. NPI 1104002716 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · SAINT LOUIS PARK, MN

Registration Details

NPI Number
1104002716
Provider Type
Individual
Gender
Female
NPI Issued
Jan 14, 2008 (18.56565658559 yrs)
Last Updated
Jan 14, 2008
Sole Proprietor
Yes

Practice Information

Address
4601 EXCELSIOR BLVD
407
SAINT LOUIS PARK, MN, 554164960
Browse MN providers · Browse ZIP 55416
Phone
6122965174
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in SAINT LOUIS PARK, MN

Name Credential NPI
MS. BARBARA J WILD CMT 1639352586
ANDREW ARTHUR RAAK CMT 1508135682
THEODORE JAMES RICK LMT,CMT 1629315866
HARRISON MCCARTNEY TUCKER 1902566466
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.