Individual
MICHELLE BOURASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3058 N STATE RD STE E, DAVISON, MI 48423-3508
(810) 652-6315
(810) 652-6213
Mailing address
3058 N STATE RD STE E, DAVISON, MI 48423-3508
(810) 652-6315
(810) 652-6213
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010287
MI
Other
Enumeration date
12/22/2017
Last updated
02/11/2021
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