Individual
MRS. MICHELLE LEE VORESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/LAT
Contact information
Practice address
200 ST. CLAIR ST, ST. MARY'S, OH 45885-2400
(419) 394-3387
(419) 394-9547
Mailing address
200 ST. CLAIR ST, ST. MARY'S, OH 45885-2400
(419) 394-3387
(419) 394-9547
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001675
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT 001675
OHIO OT, PT, AT BOARD
OH
Enumeration date
04/23/2008
Last updated
04/23/2008
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