MEDICARE: MICHELLE BAREFIELD

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
1	225700000X	Massage Therapist	MT010097	GA

General Provider Information

NPI Number	:	1689023301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE BAREFIELD

Provider Business Mailing Address
First Line	:	8046 ROSWELL RD
Second Line	:	SUITE 100A
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30350-7023
Country	:	US
Telephone Number	:	678-615-9799
Fax Number	:

Provider Business Practice Location Address
First Line	:	8046 ROSWELL RD
Second Line	:	SUITE 100A
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30350-7023
Country	:	US
Telephone Number	:	678-615-9799
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2016
Last Update Date	:	06/03/2016

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Directions to “ MICHELLE BAREFIELD ” Practice Location

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