Individual
BREANNA CLEASBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
9801 M 89, RICHLAND, MI 49083
(269) 339-0889
(269) 629-0456
Mailing address
9801 M 89, RICHLAND, MI 49083-8216
(269) 339-0889
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010153
MI
111NI0013X
Independent Medical Examiner Chiropractor
2301010153
MI
Other
Enumeration date
04/07/2014
Last updated
09/13/2018
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