Organization
BODYLOGIC MASSAGE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SHARIS SHAW LMT (OWNER/MASSAGE THERAPIST)
(947) 281-9485
Entity
Organization
Contact information
Practice address
32780 GRAND RIVER AVE # 212A, FARMINGTON, MI 48336-3138
(313) 204-8955
Mailing address
32780 GRAND RIVER AVE # 212A, FARMINGTON, MI 48336-3138
(947) 281-9485
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
12/24/2025
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