Individual
MS. LISA MAUREEN HASSEBROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMB, LMT
Contact information
Practice address
2395 UNIVERSITY AVE W STE 224, SAINT PAUL, MN 55114-1511
(612) 290-4527
Mailing address
2395 UNIVERSITY AVE W STE 224, SAINT PAUL, MN 55114-1511
(612) 290-4527
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/10/2013
Last updated
02/05/2016
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