Individual
DEANNA GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
7938 COOLEY LAKE RD, SUITE 400W, WATERFORD, MI 48327-4404
(248) 345-6475
Mailing address
7938 COOLEY LAKE RD, SUITE 400W, WATERFORD, MI 48327-4404
(248) 345-6475
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501000594
MI
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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