Individual
MICHELLE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
113 1ST ST, NASHWAUK, MN 55769-1103
(218) 966-7089
Mailing address
113 1ST ST, NASHWAUK, MN 55769-1103
(218) 966-7089
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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