Individual
CARRIE LYNN VANVOORHIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
213 W MAIN ST, HUDSON, MI 49247-1001
(517) 270-5966
Mailing address
704 JEFFERSON ST, HUDSON, MI 49247-1117
(517) 270-5966
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010452
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7501010452
MASSAGE THERAPY LICENSE
MI
Enumeration date
10/30/2020
Last updated
10/30/2020
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