Michelle Lynn Gaffney, LMT, NCTMB

Individual provider Active NPI Massage Therapist · Hartford, WI

NPI 1750833000 · NPPES record last updated Nov 2, 2016

Key facts

NPI
1750833000
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
1935-146 (WI)
Practice address
57 N Main St
Suite F
Hartford, WI 53027-1554
Phone
(262) 224-2053
NPI assigned
Nov 2, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1935-146WIMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 1935-146 WI Yes

Addresses

Primary practice location

57 N Main St
Suite F
Hartford, WI 53027-1554

Mailing address

57 N Main St
Suite F
Hartford, WI 53027-1554
Phone (262) 224-2053

Other providers in Hartford, WI

All providers in Hartford, WI · Massage Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.