Individual
BRANDI JEAN KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
798 W MILE RD NW, KALKASKA, MI 49646-8431
(231) 384-6290
Mailing address
798 W MILE RD NW, KALKASKA, MI 49646-8431
(231) 384-6290
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501015004
MI
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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