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

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

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: July 19, 2026.

On this page

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

Phone(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

Open in Google Maps ↗