Michele Ellis

NPI #1225317027 in Longview, Washington

Provider Information

NPI Number: 1225317027
Entity Type: Individual
Name: Michele Ellis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Aug 10, 2011
Last Updated: Aug 10, 2011

Practice Location

Address: 1146 COMMERCE AVE
City: Longview
State: Washington
ZIP Code: 98632-3025
Phone: (360) 577-6956

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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