Individual
KONG LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5846 MIDLAND RD # F, FREELAND, MI 48623-8707
(989) 573-8575
Mailing address
5846 MIDLAND RD # F, FREELAND, MI 48623-8707
(989) 573-8575
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501002597
MI
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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