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Organization
THERAPEUTIC MASSAGE REHABILITATION
Active
Organization
THERAPEUTIC MASSAGE REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE KEAVENY LMT (LICENSED MASSAGE THERAPIST)
(248) 320-1310
Entity
Organization
Contact information
Practice address
800 N MILFORD RD STE 600, MILFORD, MI 48381-1599
(248) 320-1310
Mailing address
1759 ASHSTAN DR, WALLED LAKE, MI 48390-2612
(248) 320-1310
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
7501003479
MI
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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