Individual
JERY A WALWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 E REID RD STE 210, GRAND BLANC, MI 48439-2416
(810) 397-7438
Mailing address
4498 OLD CARRIAGE RD, FLINT, MI 48507-5622
(810) 397-7438
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501016847
MI
Other
Enumeration date
05/25/2026
Last updated
05/25/2026
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