NPI 1336788108
Monica Nicholls
Practice location
- Address
- 586 Dodge Ave NW STE D, Elk River, MN 55330-1913
- Phone
- (952) 454-5903
- Fax
- (833) 740-1152
- Mailing address
- 7521 Westgate Trl, Eden Prairie, MN 55344-1853
Registered specialties
Massage Therapist
Primary
Registry record
- NPI
- 1336788108
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Dec 2019
- Record last updated
- 6 May 2022
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.