Most Relevant Information
Provider Data
| NPI Number: | 1003686130 |
| Provider Name: | MELISSA ANN KANGAS MASSAGE THERAPIST |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/09/2024 |
| Last Updated: | 01/09/2024 |
Provider Practice Location
5536 CHICAGO AVE
MINNEAPOLIS
MN
554172446
Practice Location Phone/Fax
| Phone: | 6128270657 |
| Fax: | 6128273102 |
Provider Mailing Location
1254 TAYLOR AVE W
SAINT PAUL
MN
551041448
Provider Mailing Phone/Fax
| Phone: | 6513360291 |
| Fax: |