Individual
MICHELLE LE SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP, BCTMB
Contact information
Practice address
403 PERKINS ST, UNION CITY, TN 38261-3945
(731) 446-3051
Mailing address
3810 TRIPLE HILLS RD, UNION CITY, TN 38261-7432
(417) 527-3404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0000013506
TN
225700000X
Massage Therapist
2004036561
MO
Other
Enumeration date
07/08/2019
Last updated
08/17/2021
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