Individual
JESSICA S ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
751 KENMOOR AVE SE STE H, GRAND RAPIDS, MI 49546-2391
(616) 466-4175
Mailing address
300 MADISON AVE SE # 3, GRAND RAPIDS, MI 49503-4618
(503) 453-4622
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501011087
MI
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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