Provider Demographics
NPI:1639392186
Name:PREHALL, MARGARET E (NCMMT)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:E
Last Name:PREHALL
Suffix:
Gender:F
Credentials:NCMMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4828 RUSTIC WAY
Mailing Address - Street 2:
Mailing Address - City:EXCELSIOR
Mailing Address - State:MN
Mailing Address - Zip Code:55331-8627
Mailing Address - Country:US
Mailing Address - Phone:612-227-8292
Mailing Address - Fax:952-474-7989
Practice Address - Street 1:4828 RUSTIC WAY
Practice Address - Street 2:
Practice Address - City:EXCELSIOR
Practice Address - State:MN
Practice Address - Zip Code:55331-8627
Practice Address - Country:US
Practice Address - Phone:612-227-8292
Practice Address - Fax:952-474-7989
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist