Individual
MS. MICHAELYN SEBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC, CES, LMT
Contact information
Practice address
35259 23 MILE RD, NEW BALTIMORE, MI 48047-3651
(586) 805-9383
Mailing address
35259 23 MILE RD, NEW BALTIMORE, MI 48047-3651
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000909
MI
2255A2300X
Athletic Trainer
AT-2494
OH
225700000X
Massage Therapist
7501011408
MI
Other
Enumeration date
10/12/2015
Last updated
02/20/2019
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