Individual
NIRA MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1961 S TELEGRAPH RD, BLOOMFIELD HILLS, MI 48302-0246
(833) 246-4347
Mailing address
22450 SHEVINGTON DR, SOUTHFIELD, MI 48034-2129
(248) 915-8684
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501015309
MI
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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