Doctor Name: | MS. KARRI MOUREEN LANE |
NPI Number: | 1043445604 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCMT |
License Number: | |
Business Practice Address: | 200 5th St Nw Suite D Elk River, MN - 553301917 |
Business Phone Number: | 7633703383 |
Business Fax Number: | |
Mailing Address: | 200 5th St Nw, Suite D ELK RIVER |
State: | MN |
Postal Code: | 553301917 |
Phone Number: | 7633703383 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2009 |
NPI Last Update Date: | 03/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |