Individual provider · Type 1 NPI

Michelle Bourassa, LMT

Massage Therapist · Davison, MI

NPI number 1669988820 Active

Practice location

3058 N State Rd Ste E
Davison, MI 48423-3508

Fax (810) 652-6213

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501010287 (MI)

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 1669988820

Michelle Bourassa, LMT's National Provider Identifier is 1669988820, issued on Dec 22, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Davison, MI. The record was last updated on Feb 11, 2021.