Individual
MISS SHELLY ANN KONCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22433 MIDDLEBELT RD, FARMINGTON HILLS, MI 48336-3743
(248) 476-1900
Mailing address
23412 TUCK RD, FARMINGTON HILLS, MI 48336-3467
(248) 426-8228
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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