Individual
SHIRLEY THERESA BRACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCBTMB
Contact information
Practice address
43401 SCHOENHERR RD, STERLING HEIGHTS, MI 48313-1961
(586) 690-0329
Mailing address
43401 SCHOENHERR RD, STERLING HEIGHTS, MI 48313-1961
(586) 690-0329
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/02/2011
Last updated
08/04/2011
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