Individual
SATYA BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2055 28TH ST SE, #7, GRAND RAPIDS, MI 49508-1564
(616) 245-7013
Mailing address
2055 28TH ST SE STE 7, GRAND RAPIDS, MI 49508-1582
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501000011
MI
Other
Enumeration date
04/03/2013
Last updated
07/08/2013
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