NPI | 1326398686 |
---|---|
Former Name | MICHELLE LYNN WERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60855996) |
Additional Taxonomies | 171W00000X Contractor (Licence: WA MAS60270868) |
225700000X Massage Therapist (Licence: WA MA60270868) | |
Enumeration Date | 2012-09-14 |
Last Update Date | 2023-05-04 |