Provider Demographics
NPI:1831450162
Name:BARTEL, LISA ELLEN (LMT)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:ELLEN
Last Name:BARTEL
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11500 HIGHWAY 7
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-5173
Mailing Address - Country:US
Mailing Address - Phone:763-218-2075
Mailing Address - Fax:
Practice Address - Street 1:5009 EXCELSIOR BLVD
Practice Address - Street 2:SUITE 152
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-3041
Practice Address - Country:US
Practice Address - Phone:763-218-2075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist