Individual provider · Type 1 NPI
Miranda A. Michaud, LMT
Massage Therapist · Colchester, CT
NPI number
1629416953
Active
Practice location
111 Loomis Rd, C/o Five Elements Healing Center
Colchester, CT 06415-2330
Mailing address
31 Hilltop Rd
Colchester, CT 06415-5108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 7410 (CT) |
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.
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About NPI 1629416953
Miranda A. Michaud, LMT's National Provider Identifier is 1629416953, issued on Jun 9, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Colchester, CT. The record was last updated on Jun 9, 2013.