Lea Ellen Baumgartner

Individual provider Active NPI Massage Therapist · Hopkins, MN

NPI 1346582004 · NPPES record last updated Mar 20, 2013

Key facts

NPI
1346582004
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
Practice address
10903 Excelsior Blvd
Hopkins, MN 55343-3420
Phone
(952) 933-1150
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Health Center PLLC Past
since Aug 1, 2011
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Yes

Addresses

Primary practice location

10903 Excelsior Blvd
Hopkins, MN 55343-3420

Mailing address

10903 Excelsior Blvd
Hopkins, MN 55343-3420
Phone (952) 933-1150

Other providers in Hopkins, MN

All providers in Hopkins, MN · Massage Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.