Individual
MRS. MARINA SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1743 142ND AVE STE 8, DORR, MI 49323-8031
(616) 272-2257
Mailing address
14475 KANE RD, PLAINWELL, MI 49080-9047
(616) 272-2257
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004741
MI
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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