Individual
MELISSA KAYLYN MCPHAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
100 MAPLE ST, WYANDOTTE, MI 48192-5928
(734) 506-0077
Mailing address
25956 REECK RD, WOODHAVEN, MI 48183-4590
(734) 559-3655
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501003388
MI
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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