Individual
MICHELLE BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
302 SUNSET DR, #105, JOHNSON CITY, TN 37604-2408
(423) 631-4272
Mailing address
407 S ROAN ST, 203, JOHNSON CITY, TN 37601-5727
(423) 631-4272
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9120
TN
Other
Enumeration date
05/04/2014
Last updated
05/04/2014
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