Individual
MR. MICHAEL SHAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT CNC
Contact information
Practice address
2000 N COURT ST TRLR 5D, FAIRFIELD, IA 52556-5255
(641) 472-3638
(641) 472-3638
Mailing address
2000 N COURT ST TRLR 5D, FAIRFIELD, IA 52556-2005
(641) 472-3638
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006367
IA
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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