Most Relevant Information
Provider Data
| NPI Number: | 1003533225 |
| Provider Name: | MICHELLE ANGELA HARRIS |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 0019009832 |
Most Important Dates
| Enumeration Date: | 10/27/2022 |
| Last Updated: | 04/17/2023 |
Provider Practice Location
20806 SHAKER DR
SOUTH CHESTERFIELD
VA
238031826
Practice Location Phone/Fax
| Phone: | 8048965525 |
| Fax: |
Provider Mailing Location
20806 SHAKER DR
SOUTH CHESTERFIELD
VA
238031826
Provider Mailing Phone/Fax
| Phone: | 8048965525 |
| Fax: |