Organization · NPI-2

Mcclain Massage Therapy

Massage Therapist · Southgate, MI

NPI number1841730736
StatusActive
Last updated in NPPESFeb 27, 2017

Details

NPI
1841730736
Entity type
Organization (NPI-2)
Legal business name
Mcclain Massage Therapy
Organization subpart
No
Enumeration date
Feb 27, 2017
Last updated
Feb 27, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist7501002665MIYes

Practice location

13560 Northline Rd
Southgate, MI 48195-1080

Phone 734-765-6867 · Fax 734-258-8017

Mailing address

13560 Northline Rd
Southgate, MI 48195-1080

Phone 734-765-6867 · Fax 734-258-8017

Authorized official

Janet Mary Mcclain
Massage Therapist
7347656867

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