MICHELLE DANA WALL
NPI 1104002716
Massage Therapist in Saint Louis Park, MN

Active since January 14, 2008
4601 EXCELSIOR BLVD, 407, SAINT LOUIS PARK, MN 55416(612) 296-5174 Get Directions Write a Review

NPPES record last updated: January 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michelle Dana Wall NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE DANA WALL (NPI 1104002716) is an individual massage therapist in Saint Louis Park, Minnesota and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1104002716
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMICHELLE DANA WALL
Location Address4601 EXCELSIOR BLVD, 407Saint Louis Park, MN 55416-4960
Mailing Address4601 Excelsior Blvd, 407Saint Louis Park, MN 55416-4960 · (612) 296-5174
Sole ProprietorYes
Enumeration DateJanuary 14, 2008
NPI 1104002716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
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.
4601 EXCELSIOR BLVD, Saint Louis Park, MN 55416

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Group Psychotherapy)
4601 EXCELSIOR BLVD, SUITE 501
ST LOUIS PARK, MN 55416
Clinic/Center
4601 EXCELSIOR BLVD, SUITE 300
ST LOUIS PARK, MN 55416
Home Health
4601 EXCELSIOR BLVD, STE. 403
ST LOUIS PARK, MN 55416
Counselor (Addiction (Substance Use Disorder))
4601 EXCELSIOR BLVD, SUITE 507A
ST LOUIS PARK, MN 55416
Assisted Living Facility
4601 EXCELSIOR BLVD, SUITE 503
MINNEAPOLIS, MN 55416
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4601 EXCELSIOR BLVD, SUITE 300
ST LOUIS PARK, MN 55416
Clinical Nurse Specialist
4601 EXCELSIOR BLVD, SUITE 501D
ST LOUIS PARK, MN 55416
Home Health
4601 EXCELSIOR BLVD, SUITE 410
ST LOUIS PARK, MN 55416

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Wall's NPI number?

The NPI number for Michelle Wall is 1104002716. It was assigned to this individual provider in the NPPES registry on January 14, 2008.

Where is Michelle Wall located?

Michelle Wall practices at 4601 Excelsior Blvd 407, Saint Louis Park, MN 55416. The listed phone number is (612) 296-5174.

What is Michelle Wall's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Michelle Wall was last updated on January 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.