Individual
DAVID WAYNE MICHALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6724 HIXSON PIKE, HIXSON, TN 37343-2506
(423) 710-3501
Mailing address
6724 HIXSON PK, HIXSON, TN 37343
(423) 710-3501
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2220
TN
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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