Individual
LACEY BORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
15 8TH AVE N, HOPKINS, MN 55343-7611
(952) 933-5085
(952) 931-2159
Mailing address
15 8TH AVE N, HOPKINS, MN 55343-7611
(952) 933-5085
(952) 931-2159
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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