Individual
MRS. MICHELE O MERRIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, MMP
Contact information
Practice address
4939 COURTHOUSE ST, WILLIAMSBURG, VA 23188-2687
(757) 927-4394
Mailing address
4680-18I MONTICELLO AVE #127, WILLIAMSBURG, VA 23188
(757) 927-4394
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019009442
VA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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