Individual
KATI LYNN LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 240-7885
(320) 240-7809
Mailing address
2001 STOCKINGER DR, SAINT CLOUD, MN 56303-1243
(320) 240-7885
(320) 240-7809
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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