Individual
MELISSA KASELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
102 DOCTORS PARK, SAINT CLOUD, MN 56303-1207
(320) 360-3609
Mailing address
PO BOX 686, BUCKMAN, MN 56317-0686
(320) 360-3609
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
268959825
MN
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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