Individual
LYNETTE VAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
14460 KING RD, RIVERVIEW, MI 48193-7939
(734) 925-6115
Mailing address
18270 MARSHA ST, RIVERVIEW, MI 48193-7474
(734) 925-6115
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501000496
MI
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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