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Joseph James Lewellin, NCLMBT#12980
Massage Therapist in Isanti, Minnesota
NPI 1437835956

Joseph James Lewellin is a Massage Therapist based in Stacy, MN. Joseph James Lewellin practices in Isanti, MN and has the professional credentials of NCLMBT#12980. The NPI Number for Joseph James Lewellin is 1437835956 and holds a License No. 12980 (Minnesota).

The current practice location address for Joseph James Lewellin is 4 Enterprise Ave Ne, Isanti, MN and can be reached out via phone at 763-552-6161.

Location: 4 Enterprise Ave Ne, Isanti, MN, 55079-3178
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437835956
Provider Name
Joseph James Lewellin
Credential
NCLMBT#12980
Provider Entity Type
Individual
Gender
Male
Address
4 Enterprise Ave Ne, Isanti, MN, 55079-3178
Phone Number
763-552-6161
Fax Number
Provider Enumeration Date
06/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4 Enterprise Ave Ne
City
Isanti
State
Minnesota
Zip
55040-6813
Phone Number
763-552-6161
Fax Number
person
Provider Business Mailing Address Details
Address
4 Enterprise Ave Ne
City
Isanti
State
Minnesota
Zip
55040-6813
Phone Number
763-552-6161
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
12980 (North Carolina)
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.
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