NPI 1215322417

Lisa Thompson, HHP

Practitioner Massage Therapist Roseville, MN

Practice location

Address: 2353 Rice St STE 130, Roseville, MN 55113-3770
Phone: (619) 993-6957
Mailing address: 2016 Upper Afton Rd E # 2, Saint Paul, MN 55119-4916

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 2015229 ROSEVILLE,MN (MN)

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Registry record

NPI: 1215322417
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2015
Record last updated: 3 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.