Individual
MS. JENNIE JOY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
426 ELENA LN, SAINT JOSEPH, MN 56374-4407
(320) 281-0046
Mailing address
426 ELENA LN, SAINT JOSEPH, MN 56374-4407
(320) 281-0046
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/19/2009
Last updated
01/08/2010
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