Individual provider · Type 1 NPI
Michelle Ann Fousse, LMT
Massage Therapist · Macedon, NY
NPI number
1043418502
Active
Practice location
1215 Mayberry Place
Macedon, NY 14502
Mailing address
2322 Timberline Dr
Macedon, NY 14502-9120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 018612-1 (NY) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
About NPI 1043418502
Michelle Ann Fousse, LMT's National Provider Identifier is 1043418502, issued on Jul 6, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Macedon, NY. The record was last updated on Jul 8, 2007.