Provider Demographics
NPI:1093122103
Name:CROMWELL, MICHELLE (PHD RYT)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:
Last Name:CROMWELL
Suffix:
Gender:F
Credentials:PHD RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 SILVER HILL LN
Mailing Address - Street 2:APT 1
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-3764
Mailing Address - Country:US
Mailing Address - Phone:508-901-9642
Mailing Address - Fax:
Practice Address - Street 1:38 SILVER HILL LN
Practice Address - Street 2:APT 1
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-3764
Practice Address - Country:US
Practice Address - Phone:508-901-9642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-21
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist