Individual
MICHAELA L MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
134 EASTERN AVE, SAINT JOHNSBURY, VT 05819-5602
(802) 535-8889
Mailing address
2318 LEONARD HILL RD, CONCORD, VT 05824-9530
(802) 535-8889
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
164.0000671
VT
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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