Organization
PREMIER MEDICAL MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL LYNNE KOEHLER CMT, NCMTB (MASSAGE THERAPIST)
(248) 636-0681
Entity
Organization
Contact information
Practice address
21777 POINCIANA ST, SOUTHFIELD, MI 48033-5049
(248) 636-0681
Mailing address
PO BOX 250005, FRANKLIN, MI 48025-0005
(248) 636-0681
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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