Individual
MRS. MICHELLE GRACE TRANBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1104 7TH AVE S, MOORHEAD, MN 56563-0001
(218) 790-0113
Mailing address
1811 10TH AVE N, MOORHEAD, MN 56560-1809
(218) 790-0113
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
449
ND
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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