Individual
MICHELE NICOLE GOTTSCHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
424 NE FRANKLIN AVE, BEND, OR 97701-4919
(503) 551-2684
Mailing address
424 NE FRANKLIN AVE, BEND, OR 97701-4919
(503) 551-2684
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26235
OR
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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