Individual
MICHELLE LYNN SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
228 MAIN RD APT 2, TIVERTON, RI 02878-1306
(401) 418-1735
Mailing address
228 MAIN RD APT 2, TIVERTON, RI 02878-1306
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT02033
RI
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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