Individual
MS. MICHELLE ANN FOUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1215 MAYBERRY PLACE, MACEDON, NY 14502
(315) 986-4605
Mailing address
2322 TIMBERLINE DR, MACEDON, NY 14502-9120
(585) 314-0894
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
018612-1
NY
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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