Individual
JAN MARTINUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11945 CONQUEST ST, BIRCH RUN, MI 48415-9294
(989) 624-9293
Mailing address
9200 CANADA RD, BIRCH RUN, MI 48415-9213
(989) 327-8548
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501008681
MI
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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