Individual
JEFFREY KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, CFST
Contact information
Practice address
43155 MAIN ST STE 2316, NOVI, MI 48375-1781
(248) 880-0162
Mailing address
43155 MAIN ST STE 2316, NOVI, MI 48375-1781
(248) 880-0162
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2013-019
MI
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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