Individual
MICHELLE MCKUSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11800 SINGLETREE LN STE 205, EDEN PRAIRIE, MN 55344-5397
(952) 949-0676
Mailing address
11800 SINGLETREE LN STE 205, EDEN PRAIRIE, MN 55344-5397
(952) 949-0676
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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