Individual
ANNA TIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
6076 LAHRING RD, LINDEN, MI 48451-8610
(810) 625-6378
Mailing address
6076 LAHRING RD, LINDEN, MI 48451-8610
(810) 625-6378
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501005347
MI
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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