Individual provider · Type 1 NPI
Michelle Dawn McCullough
Massage Therapist · Madison, GA
NPI number
1073821609
Active
Practice location
131 W Jefferson St
Madison, GA 30650-1368
Mailing address
1321 Prospect Rd
Madison, GA 30650-3151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT004569 (GA) |
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 1073821609
Michelle Dawn McCullough's National Provider Identifier is 1073821609, issued on Sep 16, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Madison, GA. The record was last updated on Sep 16, 2010.