Individual
ELIZABETH MADELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7463 OLD US 31 HWY, LOT 49, PETOSKEY, MI 49770-8515
(231) 881-1587
Mailing address
7463 OLD US 31 HWY, LOT 49, PETOSKEY, MI 49770-8515
(231) 881-1587
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
582258
MI
Other
Enumeration date
04/08/2015
Last updated
08/04/2021
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