Individual
JANICE MICHAELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9155 KOSIMO ST, NEW PORT RICHEY, FL 34654-1212
(813) 405-7458
Mailing address
9155 KOSIMO ST, NEW PORT RICHEY, FL 34654-1212
(813) 405-7458
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA57180
FL
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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