Individual
MELISSA ANN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
23505 SMITHTOWN RD STE 100, EXCELSIOR, MN 55331-4542
(952) 470-8555
(952) 401-8785
Mailing address
23505 SMITHTOWN RD STE 100, EXCELSIOR, MN 55331-4542
(952) 470-8555
(952) 401-8785
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
411965436
MN
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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