Individual
MICHELLE CHRISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1101 W CLAY RD, VERSAILLES, MO 65084-1177
(573) 378-5312
Mailing address
1101 W CLAY RD, VERSAILLES, MO 65084-1177
(573) 378-5312
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
2012038305
MO
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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