Individual
MR. MICHAEL COLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT, CES
Contact information
Practice address
4110 FITZHUGH AVE, RICHMOND, VA 23230-3827
(804) 380-1316
Mailing address
2409 SKEET ST, HENRICO, VA 23294-3501
(804) 380-1316
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019008127
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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