Candice Renee Goodar, CMT
Massage Therapist in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1952580870
StatusActive
Last updated in NPPESOct 28, 2007
Details
- NPI
- 1952580870
- Entity type
- Individual (NPI-1)
- Name
- Candice Renee Goodar
- Credential
- CMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2007
- Last updated
- Oct 28, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
| 171W00000X | Contractor | – | MI |
Practice location
520 5th StAnn Arbor, MI 48103-4839
Phone 734-664-6974 · Fax 866-318-1331
Mailing address
520 5th StAnn Arbor, MI 48103-4839
Phone 734-664-6974 · Fax 866-318-1331
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