Individual
MS. MICHELLE E THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
4623 FOREST HILL BLVD, SUITE 101, WEST PALM BEACH, FL 33415-7469
(561) 967-8888
(561) 641-8303
Mailing address
4623 FOREST HILL BLVD, SUITE 101, WEST PALM BEACH, FL 33415-7469
(561) 967-8888
(561) 641-8303
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA32966
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA32966
MASSAGE THERAPIST LICENSE
FL
Enumeration date
07/18/2006
Last updated
07/08/2007
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