Individual
TEDINA HATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2093 M 72 NE, KALKASKA, MI 49646-9547
(231) 360-6368
Mailing address
2093 M 72 NE, KALKASKA, MI 49646-9547
(231) 360-6368
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501006388
MI
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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