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Lisa Wicklund, LMT
NPI 1609304476 · on the registry since 2017 · sole proprietor
Practice
- Address
- 9140 Baltimore St Ne Ste 140-5
Blaine, MN 55449 - Phone
- (612) 481-9718
- Organisation at this address
- Coon Rapids Chiropractic Health Services Ltd
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota