Individual
MR. MICHAEL WILSON RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
997 E COUNTY LINE RD, SUITE M, GREENWOOD, IN 46143-1075
(317) 881-8119
(317) 881-8585
Mailing address
997 E COUNTY LINE RD, SUITE M, GREENWOOD, IN 46143-1075
(317) 881-8119
(317) 881-8585
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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