Individual
ANNA MICHELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10830 N CENTRAL EXPY STE 400, DALLAS, TX 75231-1099
(217) 508-7901
Mailing address
5626 PRESTON OAKS RD APT 35C, DALLAS, TX 75254-8418
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT130838
TX
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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