Provider Demographics
NPI:1922307776
Name:SIGLER, MICHELLE (LAC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:SIGLER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 SAM NEWELL RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-5039
Mailing Address - Country:US
Mailing Address - Phone:704-641-0188
Mailing Address - Fax:
Practice Address - Street 1:1130 SAM NEWELL RD
Practice Address - Street 2:SUITE B
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-5039
Practice Address - Country:US
Practice Address - Phone:704-641-0188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-18
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1661225700000X
NC582171100000X
FL3165171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist