Healthcare Provider Details

I. General information

NPI: 1912832361
Provider Name (Legal Business Name): JULIE A MONETTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

847 5TH ST NW
ROCHESTER MN
55901-2759
US

IV. Provider business mailing address

1557 PROSPERITY LN
WACONIA MN
55387-4705
US

V. Phone/Fax

Practice location:
  • Phone: 507-236-7793
  • Fax:
Mailing address:
  • Phone: 952-200-2828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: