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NPI Code Detail

MEDICARE: MICHELE WELLS LMT

MEDICARE:   MICHELE  WELLS  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 Therapist225700000X.VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10019018056OTHERVAVIRGINIA NURSING BOARD

General Provider Information

NPI Number : 1861118697
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE WELLS LMT
Provider Business Mailing Address
First Line : 925 SUGAR TREE CT
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-2809
Country : US
Telephone Number : 757-297-2019
Fax Number :
Provider Business Practice Location Address
First Line : 1401 KRISTINA WAY STE 203
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-8917
Country : US
Telephone Number : 757-297-2019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2022
Last Update Date : 07/05/2024

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Directions to “ MICHELE WELLS LMT” Practice Location

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