Organization
NATURE BREAK WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARY GALL NP (PRESIDENT/CEO)
(320) 630-9116
Entity
Organization
Contact information
Practice address
35294 LOGAN LN, HILLMAN, MN 56338-2445
(320) 630-9116
Mailing address
35294 LOGAN LN, HILLMAN, MN 56338-2445
(320) 630-9116
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
—
—
251J00000X
Nursing Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
05/20/2025
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