Jeremy Fredrich
Massage Therapist in Flint, MI. Individual provider (NPI-1).
NPI number1700248911
StatusActive
Last updated in NPPESMar 26, 2016
Details
- NPI
- 1700248911
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Fredrich
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 26, 2016
- Last updated
- Mar 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 7501008920 | MI | Yes |
Practice location
G3277 Beecher RdFlint, MI 48532-3615
Phone 810-282-4278
Mailing address
5477 Country Rose CirGrand Blanc, MI 48439-9182
Phone 810-280-2872
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