Organization
WILLOW MOON HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LEVESQUE CMT (PRESIDENT)
(571) 606-0026
Entity
Organization
Contact information
Practice address
9300 FOREST POINT CIR, SUITE 162, MANASSAS, VA 20110-4765
(571) 606-0026
Mailing address
1028 HARPER VALLEY RD, LURAY, VA 22835-9416
(571) 606-0026
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019008764
VA
Other
Enumeration date
01/23/2011
Last updated
04/13/2014
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