Individual
JILL IVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 LUDINGTON ST, ESCANABA, MI 49829-3926
(190) 678-9586
Mailing address
500 LUDINGTON ST, ESCANABA, MI 49829-3926
(190) 678-9586
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501009332
MI
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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