Michelle Dragoo Lmp

NPI #1508115940 in Ridgefield, Washington

Provider Information

NPI Number: 1508115940
Entity Type: Organization
Organization Name: Michelle Dragoo Lmp
Primary Specialty: Massage Therapist
Enumeration Date: Aug 30, 2012
Last Updated: Aug 30, 2012

Practice Location

Address: 414 PIONEER ST
Address 2: SUITE A
City: Ridgefield
State: Washington
ZIP Code: 98642-4512
Phone: (360) 721-5195

Authorized Official

Name: MRS. MICHELLE DRAGOO, LMP
Title: OWNER
Phone: (360) 721-5195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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