Individual
MS. MIRANDA A MICHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
111 LOOMIS RD, C/O FIVE ELEMENTS HEALING CENTER, COLCHESTER, CT 06415-2330
(860) 748-6293
Mailing address
31 HILLTOP RD, COLCHESTER, CT 06415-5108
(860) 748-6293
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7410
CT
Other
Enumeration date
06/09/2013
Last updated
06/09/2013
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