Individual
MRS. MICHELLE DENISE TALBOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NCTMB
Contact information
Practice address
3002 ARKENDALE ST, WOODBRIDGE, VA 22193-1238
(703) 763-3106
(703) 763-3107
Mailing address
3002 ARKENDALE ST, WOODBRIDGE, VA 22193-1238
(703) 763-3106
(703) 763-3107
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019006655730359
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629212139
NPI
VA
01
—
506471-06
NATIONAL CERTIFICATION NUMBER
VA
Enumeration date
04/28/2009
Last updated
01/23/2014
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