MS. Michelle L Green

NPI #1942440268 in Chesterton, Indiana

Provider Information

NPI Number: 1942440268
Entity Type: Individual
Name: MS. Michelle L Green
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Feb 26, 2009
Last Updated: Feb 26, 2009

Practice Location

Address: 425 SAND CREEK DR
Address 2: SUITE C
City: Chesterton
State: Indiana
ZIP Code: 46304-1589
Phone: (219) 395-1818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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