Individual
VIVIAN MICHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.D.T.
Contact information
Practice address
11288 SAINT PETERS RD, BROOKVILLE, IN 47012-9125
(812) 623-2106
Mailing address
33 W WALNUT ST, OXFORD, OH 45056-1747
(800) 884-6973
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
IN
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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