Organization
RESTORATIVE MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME K CALDWELL LMT (OWNER/MASSAGE THERAPISTS)
(810) 358-4336
Entity
Organization
Contact information
Practice address
105 E 2ND ST STE 2, DAVISON, MI 48423-1467
(810) 510-0320
Mailing address
4622 N LAKE RD, COLUMBIAVILLE, MI 48421-8981
(810) 358-4336
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010623
MI
Other
Enumeration date
08/11/2018
Last updated
08/11/2018
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