Individual
MACHELLE H PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MLD-C
Contact information
Practice address
1505 COMMON ST, LAKE CHARLES, LA 70601-6131
(337) 764-0989
Mailing address
1505 COMMON ST, LAKE CHARLES, LA 70601-6131
(337) 853-0944
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7390
LA
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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