Individual provider · NPI-1
Veronica Lacasse
Massage Therapist · Southgate, MI
NPI number1518340975
StatusActive
Last updated in NPPESJul 2, 2015
Details
- NPI
- 1518340975
- Entity type
- Individual (NPI-1)
- Name
- Veronica Lacasse
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2015
- Last updated
- Jul 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 7501004861 | MI | Yes |
Practice location
13620 Westcott DrSouthgate, MI 48195-3079
Phone 734-288-6578
Mailing address
13620 Westcott DrSouthgate, MI 48195-3079
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