Individual
MR. MICHAEL SAMPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2939 KENNY RD, SUITE 195, COLUMBUS, OH 43221-2406
(614) 326-9496
Mailing address
4966 RIVERSIDE DR, APT B, COLUMBUS, OH 43220-2891
(614) 326-9496
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015418
OH
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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