Individual provider · NPI-1

Katreva Bisbee

Massage Therapist · Lansing, MI

NPI number1457734204
StatusActive
Last updated in NPPESOct 29, 2024

Details

NPI
1457734204
Entity type
Individual (NPI-1)
Name
Katreva Bisbee
Sex
Female
Sole proprietor
No
Enumeration date
Jun 29, 2015
Certification date
Oct 29, 2024
Last updated
Oct 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist7501001380MIYes
172V00000X Community Health Worker–MI

Practice location

809 Center St Ste 9a
Lansing, MI 48906-5258

Phone 517-980-6183

Mailing address

809 Center St Ste 9a
Lansing, MI 48906-5258

Phone 517-980-6183

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