Individual provider · NPI-1

Gladys Marie Ayala, M.T

Massage Therapist · Southgate, MI

NPI number1386883031
StatusActive
Last updated in NPPESOct 7, 2013

Details

NPI
1386883031
Entity type
Individual (NPI-1)
Name
Mrs. Gladys Marie Ayala
Credential
M.T
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 19, 2009
Last updated
Oct 7, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist––Yes

Practice location

13330 Fort St
Southgate, MI 48195-1137

Phone 734-309-6908

Mailing address

1530 Oconnor Ave
Lincoln Park, MI 48146-1743

Phone 313-574-9219

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