Individual
MELISSA SUE WILCOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, NCBTMB
Contact information
Practice address
12100 SINGLETREE LN STE 198, EDEN PRAIRIE, MN 55344-7961
(952) 607-9789
Mailing address
9750 230TH ST E, LAKEVILLE, MN 55044-8292
(701) 212-2586
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MN
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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