Saundra K Avery, LPN, LMT
Massage Therapist in Canton, MI. Individual provider (NPI-1).
NPI number1083171151
StatusActive
Last updated in NPPESFeb 26, 2019
Details
- NPI
- 1083171151
- Entity type
- Individual (NPI-1)
- Name
- Saundra K Avery
- Credential
- LPN, LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 26, 2019
- Last updated
- Feb 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 7501000228 | MI | Yes |
| 164W00000X | Licensed Practical Nurse | 4703113427 | MI |
Practice location
8399 Holly DrCanton, MI 48187-4237
Phone 734-218-0505
Mailing address
8399 Holly DrCanton, MI 48187-4237
Phone 734-218-0505
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All 10 Massage Therapist providers in Canton · All 2,409 providers in Canton
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