Individual
KIM FERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
17662 M 40, GOBLES, MI 49055-9678
(269) 539-0922
Mailing address
52406 COUNTY ROAD 665, PAW PAW, MI 49079-9335
(269) 539-0922
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010998
MI
Other
Enumeration date
10/09/2021
Last updated
10/09/2021
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