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Dakota Lynn Staves, Licensed Massage The

Behavior Technician in Freeland, MI. Individual provider (NPI-1).

NPI number1497415541
StatusActive
Last updated in NPPESJan 13, 2025

Details

NPI
1497415541
Entity type
Individual (NPI-1)
Name
Dakota Lynn Staves
Credential
Licensed Massage The
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 29, 2021
Certification date
Jan 13, 2025
Last updated
Jan 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes
225700000X Massage Therapist7501015942MI
374700000X Technician––

Practice location

3949 N River Rd
Freeland, MI 48623-8856

Phone 989-702-2082

Mailing address

3949 N River Rd
Freeland, MI 48623-8856

Phone 989-702-2082

Other practice locations

526 W. Genesee Street
Suite 4
Frankenmuth, MI 48734

Phone 989-652-2577 · Fax 989-652-4776

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