Individual
AUTUMN ELIZABETH LENART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
17439 FORT ST, RIVERVIEW, MI 48193-6630
(734) 365-7101
Mailing address
17439 FORT ST, RIVERVIEW, MI 48193-6630
(734) 365-7101
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501015258
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7501015258
MVA
MI
Enumeration date
10/19/2022
Last updated
10/19/2022
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