Massage Tea Lc
Massage Therapist in Redford, MI. Organization (NPI-2).
NPI number1326315433
StatusActive
Last updated in NPPESNov 18, 2011
Details
- NPI
- 1326315433
- Entity type
- Organization (NPI-2)
- Legal business name
- Massage Tea Lc
- Organization subpart
- No
- Enumeration date
- Nov 18, 2011
- Last updated
- Nov 18, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
27003 Plymouth RdRedford, MI 48239-2343
Phone 313-744-7055
Mailing address
Po Box 4388Detroit, MI 48204-0388
Phone 313-516-5536
Authorized official
Andre Lately
President
3135165536
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All 15 Massage Therapist providers in Redford · All 1,061 providers in Redford
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