Individual provider · NPI-1

Doris Lynn Crabtree

Massage Therapist · Southgate, MI

NPI number1104334549
StatusActive
Last updated in NPPESJan 19, 2018

Details

NPI
1104334549
Entity type
Individual (NPI-1)
Name
Doris Lynn Crabtree
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 19, 2018
Last updated
Jan 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist7501003142MIYes

Practice location

13766 Fort St
Southgate, MI 48195-1153

Phone 734-282-3717

Mailing address

13766 Fort St
Southgate, MI 48195-1153

Phone 734-282-3717

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