National Provider Identifier

Michelle Ann Fousse, LMT

Michelle Ann Fousse, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Macedon, NY and a listed phone number of (315) 986-4605.

NPI 1043418502Macedon, NYMassage Therapist

Profile Overview

NPI
1043418502
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
July 06, 2007
Last Updated
July 08, 2007

Practice Location

  • 1215 Mayberry Place
  • Macedon, NY 14502

Phone: (315) 986-4605

Mailing Address

  • 2322 Timberline Dr
  • Macedon, NY 14502-9120

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1043418502
Entity Type
Individual
Last Name
Fousse
First Name
Michelle
Middle Name
Ann
Name Prefix
MS.
Credential
LMT
Mailing Street Address
2322 Timberline Dr
Mailing City
Macedon
Mailing State
NY
Mailing ZIP Code
14502-9120
Mailing Country
US
Mailing Phone
(585) 314-0894
Practice Street Address
1215 Mayberry Place
Practice City
Macedon
Practice State
NY
Practice ZIP Code
14502
Practice Country
US
Practice Phone
(315) 986-4605
Enumeration Date
July 06, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)