Doctor Name: | LISA THOMPSON |
NPI Number: | 1215322417 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | HHP |
License Number: | 2015229 ROSEVILLE,MN |
Business Practice Address: | 2353 Rice St Ste 130 Roseville, MN - 551133770 |
Business Phone Number: | 6199936957 |
Business Fax Number: | |
Mailing Address: | 2016 Upper Afton Rd E # 2, SAINT PAUL |
State: | MN |
Postal Code: | 551194916 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/03/2015 |
NPI Last Update Date: | 04/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 2015229 ROSEVILLE,MN |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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. |