Individual
JONATHAN PAUL IMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
363 HIGHLAND ST, WYANDOTTE, MI 48192-2550
(248) 241-2970
Mailing address
363 HIGHLAND ST, WYANDOTTE, MI 48192-2550
(248) 241-2970
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501017180
MI
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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