Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Lisa Marie Wicklund, LMT

Individual provider Massage Therapist · NPI 1609304476

MS. Lisa Marie Wicklund, LMT is a Massage Therapist in Blaine, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2017
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

9140 Baltimore St NE Ste 140-5
Blaine, MN 55449-4382
Phone: (612) 481-9718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 17-07455 (MN)

Record details

NPI number1609304476
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedMay 24, 2017
Last updated in NPPESJuly 21, 2022

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