Individual
MICHELLE MCKINNEY MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT, CMLDT
Contact information
Practice address
1151 FALLS RD STE 2026, ROCKY MOUNT, NC 27804-4429
(252) 813-7221
Mailing address
417 FOREST HILL AVE, ROCKY MOUNT, NC 27804-3735
(252) 813-7221
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15551
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15551
LMBT STATE LICENSE MASSAGE BOARD
NC
Enumeration date
10/24/2022
Last updated
10/28/2022
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