Organization
MISHA1
Active
Other names
Elements Therapeutic Massage
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE J MERHIB LMP (OWNER)
(509) 315-5561
Entity
Organization
Contact information
Practice address
15446 E ORCHARD RD, CENTENNIAL, CO 80016-3005
(509) 315-5561
(509) 315-8354
Mailing address
15446 E ORCHARD RD, CENTENNIAL, CO 80016-3005
(509) 315-8354
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/18/2010
Last updated
04/28/2010
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