Individual
MICHELLE M HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
444 REID ST STE 302, DE PERE, WI 54115-2100
(920) 288-2178
Mailing address
444 REID ST STE 302, DE PERE, WI 54115-2100
(920) 288-2178
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15752-146
WI
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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