Organization
REVITALIZE DAY SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS JOHN YGAY (OWNER)
(248) 530-4772
Entity
Organization
Contact information
Practice address
751 CHESTNUT ST, 203, BIRMINGHAM, MI 48009-6461
(248) 530-4772
Mailing address
751 CHESTNUT ST, SUITE 203 AND 205, BIRMINGHAM, MI 48009-6461
(248) 530-4001
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2706122912
MI
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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