Organization
LAKEVIEW MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA JEAN TOUSIGNANT (OWNER/MASSAGE THERAPIST)
(952) 423-3420
Entity
Organization
Contact information
Practice address
13465 PILOT KNOB RD, APPLE VALLEY, MN 55124-8693
(952) 423-3420
Mailing address
13465 PILOT KNOB RD, APPLE VALLEY, MN 55124-8693
(952) 423-3420
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
MT-2016-21
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT-2016-21
CITY LICENSE
MN
Enumeration date
03/24/2016
Last updated
03/24/2016
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