Individual
SUSAN M MONNENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMT
Contact information
Practice address
8465 207TH ST W, LAKEVILLE, MN 55044-8643
(952) 380-7365
Mailing address
8465 207TH ST W, LAKEVILLE, MN 55044-8643
(952) 380-7365
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
946143
ASSOCIATED BODYWORK & MASSAGE PROFESSIONALS
MN
Enumeration date
08/23/2011
Last updated
08/23/2011
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