Individual
RACHEL SUTPHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
17439 FORT ST, RIVERVIEW, MI 48193-6630
(734) 365-7101
Mailing address
14450 INKSTER RD, ROMULUS, MI 48174-2875
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
L938631
MI
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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