Individual
SANDRA WITHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33211 GRAND RIVER AVE, FARMINGTON, MI 48336-6403
(248) 477-1492
Mailing address
8630 DIANE CT, WESTLAND, MI 48185-1603
(734) 522-0937
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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