Michelle D Long, MA60177937

NPI #1053611863 in Selah, Washington

Provider Information

NPI Number: 1053611863
Entity Type: Individual
Name: Michelle D Long, MA60177937
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: MA60177937
Enumeration Date: Oct 26, 2010
Last Updated: Oct 26, 2010

Practice Location

Address: 361 LAMPE RD
City: Selah
State: Washington
ZIP Code: 98942-9534
Phone: (509) 440-1534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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