Individual
MICHELLE EARLE MARQUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
330 LAKEVIEW DR, GOSHEN, IN 46528-9365
(574) 537-2680
(574) 533-0218
Mailing address
330 LAKEVIEW DR, GOSHEN, IN 46528-9365
(574) 537-2680
(574) 533-0218
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21405285
IN
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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