Provider Demographics
NPI:1467129601
Name:ARMS, MICHELLE ALYSIA (AP, LAC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ALYSIA
Last Name:ARMS
Suffix:
Gender:F
Credentials:AP, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 DEER TRL
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-1441
Mailing Address - Country:US
Mailing Address - Phone:408-310-2706
Mailing Address - Fax:
Practice Address - Street 1:1709 RIDGEWAY AVE NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-7511
Practice Address - Country:US
Practice Address - Phone:404-355-1662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA488171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist