Most Relevant Information
Provider Data
| NPI Number: | 1003454505 |
| Provider Name: | ELIZABETH ANN MICHELSEN LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 13496-146 |
Most Important Dates
| Enumeration Date: | 12/15/2019 |
| Last Updated: | 12/15/2019 |
Provider Practice Location
101 S JONES ST STE 100
BARNEVELD
WI
535079801
Practice Location Phone/Fax
| Phone: | 6089242424 |
| Fax: |
Provider Mailing Location
317 PAWLING ST APT 4
MADISON
WI
537045042
Provider Mailing Phone/Fax
| Phone: | 6084459055 |
| Fax: |