Individual
MS. MELISSA MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11305 GATEWAY CT, SCARBOROUGH, ME 04074-5555
(207) 712-4137
Mailing address
11305 GATEWAY CT, SCARBOROUGH, ME 04074-5555
(207) 712-4137
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT6663
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT6663
LMT
ME
Enumeration date
10/19/2022
Last updated
10/19/2022
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