Individual
MS. STACEY ANN ROTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NHT, LMT
Contact information
Practice address
5841 WHITMORE LAKE RD STE C, BRIGHTON, MI 48116-1991
(810) 623-9249
Mailing address
10736 ODELL RD, FOWLERVILLE, MI 48836-8233
(248) 835-4671
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
—
—
225700000X
Massage Therapist
Primary
7501015624
MI
Other
Enumeration date
11/04/2024
Last updated
11/17/2024
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