Individual
MRS. JENNIFER L SIWEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2193 ASSOCIATION DR STE 700, OKEMOS, MI 48864-4904
(517) 282-2910
Mailing address
3714 INVERARY DR, LANSING, MI 48911-1338
(517) 282-2910
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004220
MI
Other
Enumeration date
07/29/2018
Last updated
07/29/2018
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