Individual
MATTHEW RON PICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1519 E RIVER RD STE B, MUSKEGON, MI 49445-8591
(231) 744-6400
(231) 744-6464
Mailing address
1519 E RIVER RD STE B, MUSKEGON, MI 49445-8591
(231) 744-6400
(231) 744-6464
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501009329
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7501009329
LICENSE
MI
Enumeration date
04/18/2019
Last updated
04/18/2019
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