Individual
MISS MICHELLE DENISE REISINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1820 MADISON ST STE D, CLARKSVILLE, TN 37043-8037
(931) 624-4333
Mailing address
3649 STEEPLECHASE LN, HOPKINSVILLE, KY 42240-4004
(931) 624-4333
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10420
TN
225700000X
Massage Therapist
127526
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10420
LMT
TN
01
—
127526
LMT
AK
Enumeration date
06/18/2007
Last updated
10/03/2024
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