Individual
DORIS LYNN CRABTREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13766 FORT ST, SOUTHGATE, MI 48195-1153
(734) 282-3717
Mailing address
13766 FORT ST, SOUTHGATE, MI 48195-1153
(734) 282-3717
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501003142
MI
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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