Individual
MICHELLE ROGENA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 CANTRELL RD, LITTLE ROCK, AR 72201-1111
(501) 372-1194
Mailing address
618 EDINBURGH CT, JACKSONVILLE, AR 72076-3434
(501) 772-3117
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
333
AR
225700000X
Massage Therapist
9219
AR
Other
Enumeration date
06/19/2017
Last updated
06/09/2022
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