Individual
TAMBERLENE HAYES TERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, LMT, MMP
Contact information
Practice address
9930 11 MILE RD, MECOSTA, MI 49332-9743
(989) 857-9042
Mailing address
10916 STEVENS LN, MECOSTA, MI 49332-9504
(517) 819-5862
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010978
MI
Other
Enumeration date
04/09/2019
Last updated
04/14/2019
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