Individual
MICHELLE SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
(617) 831-7430
(617) 219-1243
Mailing address
11 WHITE RD, WAYLAND, MA 01778-2416
(508) 358-0858
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10429
MA
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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