Individual
SUSAN HENGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
71280 VAN DYKE RD, BRUCE TWP, MI 48065-5437
(586) 709-2093
Mailing address
71280 VAN DYKE RD, BRUCE TWP, MI 48065-5437
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501011610
MI
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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