Individual
MRS. MICHELLE MAE LEVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
221 W ROOSEVELT AVE, ELECTRA, TX 76360-2437
(940) 632-0558
Mailing address
105 AVENUE A, ELECTRA, TX 76360-1447
(940) 632-0558
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT038536
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT038536
MASSAGE THERAPIST LICENSE NUMBER
TX
Enumeration date
05/20/2009
Last updated
05/20/2009
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