Individual
MS. GRACE WILLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.C.T.M.B.
Contact information
Practice address
812 S GARFIELD AVE STE 1, TRAVERSE CITY, MI 49686-3456
(231) 421-9201
Mailing address
9430 PENINSULA DR, TRAVERSE CITY, MI 49686-8387
(269) 650-2172
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/20/2010
Last updated
08/10/2012
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