Individual
MS. MICHELLE L GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 SAND CREEK DR, SUITE C, CHESTERTON, IN 46304-1589
(219) 395-1818
(219) 395-1717
Mailing address
425 SAND CREEK DR, SUITE C, CHESTERTON, IN 46304-1589
(219) 395-1818
(219) 395-1717
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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