Individual
MICHELLE RAE BODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5361 OBERLIN AVE, LORAIN, OH 44053-3437
(440) 282-7132
Mailing address
1050 CLEVELAND AVE, AMHERST, OH 44001-1746
(440) 225-1168
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
012358
OH
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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