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Individual

ELISSA ROSE THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
28860 SOUTHFIELD RD STE 202, LATHRUP VILLAGE, MI 48076-2726
(248) 733-5876
Mailing address
28860 SOUTHFIELD RD STE 202, LATHRUP VILLAGE, MI 48076-2726

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501002635
MI

Other

Enumeration date
02/22/2022
Last updated
02/22/2022
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