Michelle Angela Harris
Individual provider Active NPI Massage Therapist · South Chesterfield, VA
NPI 1003533225 · NPPES record last updated Apr 17, 2023
Key facts
- NPI
- 1003533225
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 0019009832 (VA)
- Practice address
- 20806 Shaker Dr
South Chesterfield, VA 23803-1826 - Phone
- (804) 896-5525
- NPI assigned
- Oct 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0019009832 | VA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koe Consultant Firm | Massage Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0019009832 | VA | Yes |
Addresses
Primary practice location
20806 Shaker Dr
South Chesterfield, VA 23803-1826
Mailing address
20806 Shaker Dr
South Chesterfield, VA 23803-1826
Phone (804) 896-5525
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Excel | Other | Koe Consultant Firm |
Other providers in South Chesterfield, VA
- Growing Grounded Counseling PLLC
- Allyson Morriss Hall
- Ashley Dawn Halloway
- Dejon Harris
- Latoya Harris
- Tinyia Harris
- Angela Harrison Jokodola
- Healthy Hearts Home Healthcare LLC
- Heavenly Living LLC
- Brooklynn Marie Hedrick
All providers in South Chesterfield, VA · Massage Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.