Individual
MRS. BRENDA J PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
5060 CASCADE RD SE STE C, GRAND RAPIDS, MI 49546-3808
(616) 610-1097
(616) 940-4594
Mailing address
5060 CASCADE RD SE STE C, GRAND RAPIDS, MI 49546-3808
(616) 610-1097
(616) 940-4594
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MI
Other
Enumeration date
01/22/2009
Last updated
02/17/2009
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