Individual
KERI PHILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8966 DAWES ST, DETROIT, MI 48204-2703
(313) 671-0419
Mailing address
8966 DAWES ST, DETROIT, MI 48204-2703
(313) 671-0419
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
BUS2005-00041
MI
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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