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MRS. MICHELLE DAWN MCCULLOUGH
NPI 1073821609
Massage Therapist in Madison, GA

Active since September 16, 2010
131 W JEFFERSON ST, MADISON, GA 30650(706) 342-2242 Get Directions Write a Review

NPPES record last updated: September 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Michelle Dawn Mccullough NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MICHELLE DAWN MCCULLOUGH (NPI 1073821609) is an individual massage therapist in Madison, Georgia, licensed in Georgia (MT004569) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1073821609
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMRS. MICHELLE DAWN MCCULLOUGH
Location Address131 W JEFFERSON STMadison, GA 30650-1368
Mailing Address1321 Prospect RdMadison, GA 30650-3151 · (706) 474-1625
Phone(706) 342-2242
Sole ProprietorNo
Enumeration DateSeptember 16, 2010
✔ NPI 1073821609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in GA · MT004569
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
131 W JEFFERSON ST, Madison, GA 30650
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Other Names 1

Former Name (1)Ms. Michelle Dawn Jernigan

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Mccullough's NPI number?

The NPI number for Michelle Mccullough is 1073821609. It was assigned to this individual provider in the NPPES registry on September 16, 2010. The provider is also known as Ms. Michelle Dawn Jernigan.

Where is Michelle Mccullough located?

Michelle Mccullough practices at 131 W Jefferson St, Madison, GA 30650. The listed phone number is (706) 342-2242.

What is Michelle Mccullough's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Michelle Mccullough was last updated on September 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.