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Individual

MRS. MICHELE MACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, CPMT

Contact information

Practice address
2179 STRINGTOWN RD, LOFT 11, GROVE CITY, OH 43123-2989
(614) 886-0290
Mailing address
3850 POWDER RIDGE RD, GROVE CITY, OH 43123-1292
(614) 886-0290

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.02129080
OH

Other

Enumeration date
09/05/2014
Last updated
09/05/2014
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