Individual
HANNAH GRISSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11591 NORTHLAND DR NE, ROCKFORD, MI 49341-8426
(616) 439-0199
Mailing address
11591 NORTHLAND DR NE, ROCKFORD, MI 49341-8426
(616) 439-0199
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501007378
MI
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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