Provider Demographics
NPI:1982983359
Name:L'ESPERANCE, JILL E (CERTIFIED NMT, MMT)
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:E
Last Name:L'ESPERANCE
Suffix:
Gender:F
Credentials:CERTIFIED NMT, MMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10911 HWY 55
Mailing Address - Street 2:SUITE #201A
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55441-6128
Mailing Address - Country:US
Mailing Address - Phone:952-513-4343
Mailing Address - Fax:
Practice Address - Street 1:10911 HWY 55
Practice Address - Street 2:SUITE #201A
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55441-6128
Practice Address - Country:US
Practice Address - Phone:952-513-4343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist