MELISSA SUE WILCOWSKI (NPI# 1992159750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992159750 |
| Entity Type | Individual |
| Full Name | MELISSA SUE WILCOWSKI |
| Credential | CMT, NCBTMB |
| Practice Address |
12100 Singletree Ln Ste 198 Eden Prairie MN 55344-7961 |
| Mailing Address |
9750 230th St E Lakeville MN 55044-8292 |
| Practice Telephone | 9526079789 |
| Mailing Telephone | 7012122586 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
12100 SINGLETREE LN STE 198 |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55344-7961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366000572 | Hekima Care Inc. | Case Management | 8725 Columbine Rd Unit 46026, Eden Prairie, MN 55344 | 2019-06-03 |
| 1528537768 | Smile Eden Prairie | Dentist | 6600 City W. Pkwy #315, Eden Prairie, MN 55344 | 2018-11-16 |
| 1215439781 | Angelo Scherer | Counselor | 11010 Prairie Lakes Drive Suite 350, Eden Prairie, MN 55344 | 2018-03-01 |
| 1497272678 | Matthew Lynn | Occupational Therapist | 431 Prairie Center Drive, Eden Prairie, MN 55344 | 2017-08-28 |
| 1184178956 | Eric R Barrett | Audiologist | Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 | 2016-08-10 |
| 1609218676 | Nations Care Link | Nurse Practitioner | 11000 Praire Lakes Dr, Suite 600, Eden Praire, MN 55344 | 2013-07-19 |
| 1497020390 | Alixa Rx LLC | Pharmacy | 10132 West 76th St, Eden Prairie, MN 55344 | 2012-03-12 |
| 1831467331 | Eagle Ridge Academy | Local Education Agency (LEA) | 7255 Flying Cloud Drive, Eden Prairie, MN 55344 | 2011-12-12 |
| 1205154739 | Eden Prairie School District 272 | Local Education Agency (LEA) | 8100 School Road, Eden Prairie, MN 55344 | 2010-05-07 |
| 1992030613 | Spinal Health | Chiropractor | 12100 Singletree Ln #129, Eden Prairie, MN 55344 | 2009-10-14 |
| Find all providers in zip 55344 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1447596416 | Emily Hagen | Massage Therapist | 7212 Allen Ct, Eden Prairie, MN 55346-3025 | 2012-12-19 |
| 1932401163 | Kimberly Kaye Borrell | Massage Therapist | 6600 Countryside Dr, Eden Prairie, MN 55346-2210 | 2010-11-19 |
| 1134446933 | Christine Hinkley | Massage Therapist | 10165 Hennepin Town Rd Ste 103, Eden Prairie, MN 55347-3107 | 2010-05-03 |
| 1346567260 | Skk Enterprises, LLC | Massage Therapist | 10165 Hennepin Town Rd, Suite 103, Eden Prairie, MN 55347-3104 | 2010-05-02 |
| 1871824789 | Jon Hwang Ordner | Massage Therapist | 6545 Flying Cloud Dr Ste 100, Eden Prairie, MN 55344-3320 | 2010-01-18 |
| 1194950931 | Amber Lynn Ryan | Massage Therapist | 6330 Whispering Oaks Dr, Eden Prairie, MN 55346-1229 | 2009-05-22 |
| 1578181905 | Laurel Abrahamson | Massage Therapist | 8901 Aztec Dr, Eden Prairie, MN 55347-1916 | 2020-07-13 |
| 1578107611 | Brittany Dunne Graft | Massage Therapist | 8941 Aztec Dr, Eden Prairie, MN 55347-1916 | 2019-11-01 |
| 1306302971 | Nicolle Barnholtz | Massage Therapist | 8941 Aztec Dr, Eden Prairie, MN 55347-1916 | 2019-02-19 |
| Find all providers in EDEN PRAIRIE | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
Please comment or provide details below to improve the information on MELISSA SUE WILCOWSKI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.