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NPI Code Detail

MEDICARE: MS. MICHELLE MARIE ROBINSON LMT

MEDICARE: MS. MICHELLE MARIE ROBINSON LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMT012758GA

General Provider Information

NPI Number : 1225734007
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE MARIE ROBINSON LMT
Provider Business Mailing Address
First Line : 3808 WAYCROSS HWY
Second Line :
City : JESUP
State : GA
Zip : 31545-2401
Country : US
Telephone Number : 912-571-6958
Fax Number :
Provider Business Practice Location Address
First Line : 3405 CYPRESS MILL RD
Second Line :
City : BRUNSWICK
State : GA
Zip : 31520-2857
Country : US
Telephone Number : 912-600-8263
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2023
Last Update Date : 02/03/2023

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Directions to “ MS. MICHELLE MARIE ROBINSON LMT” Practice Location

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