Individual
MICHELE ANN SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
16 WALL ST, COLCHESTER, CT 06415-1161
(860) 460-8496
Mailing address
15 DEBORAH LN, COLCHESTER, CT 06415-2304
(860) 460-8496
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6958
CT
Other
Enumeration date
01/27/2019
Last updated
01/27/2019
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