Individual
MRS. MICHELLE LYNN MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA, LMT
Contact information
Practice address
6734 CIRCLE DR, RADFORD, VA 24141-8276
(804) 572-5009
Mailing address
6734 CIRCLE DR, RADFORD, VA 24141-8276
(804) 572-5009
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019006591
VA
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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