Individual
TYLER HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4710 EASTMAN AVE, MIDLAND, MI 48640-2606
(989) 341-1070
Mailing address
2414 COOPER AVE, SAGINAW, MI 48602-3942
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501015151
MI
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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