Individual
LISA SUE NIKODYM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
225 N BENTON DRIVE, SUITE 105, SAUK RAPIDS, MN 56379-1597
(320) 252-2225
(320) 252-2159
Mailing address
225 N BENTON DRIVE, SUITE 105, SAUK RAPIDS, MN 56379-1597
(320) 252-2225
(320) 252-2159
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MN
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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