| Michelle Dana Wall, | |
| 4601 Excelsior Blvd, 407, Saint Louis Park, MN 55416-4960 | |
| (612) 296-5174 | |
| Not Available | 
| Full Name | Michelle Dana Wall | 
|---|---|
| Gender | Female | 
| Speciality | Massage Therapist | 
| Location | 4601 Excelsior Blvd, Saint Louis Park, Minnesota | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104002716 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225700000X | Massage Therapist | (* (Not Available)) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michelle Dana Wall, 4601 Excelsior Blvd, 407, Saint Louis Park, MN 55416-4960 Ph: (612) 296-5174 | Michelle Dana Wall, 4601 Excelsior Blvd, 407, Saint Louis Park, MN 55416-4960 Ph: (612) 296-5174 | 
| Function, Llc Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3546 Dakota Ave S, Suite B, Saint Louis Park, MN 55416 Phone: 612-229-0236 | |
| Andrew Arthur Raak, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5871 Cedar Lake Rd S, Suite 212, Saint Louis Park, MN 55416 Phone: 612-229-0236 | |
| Theodore James Rick, LMT,CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6009 Wayzata Blvd, Suite 106, Saint Louis Park, MN 55416 Phone: 952-922-1478 Fax: 952-922-0248 | |
| Ms. Barbara J Wild, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3125 Georgia Ave S, Saint Louis Park, MN 55426 Phone: 952-457-2310 | |
| Harrison Mccartney Tucker,  Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6250 Excelsior Blvd Ste 103, Saint Louis Park, MN 55416 Phone: 763-614-0363 |