Individual
KATHLEEN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., L.M.T.
Contact information
Practice address
401 E PALMER ST, MOUNT PLEASANT, MI 48858-1547
(989) 506-1082
Mailing address
401 E PALMER ST, MOUNT PLEASANT, MI 48858-1547
(989) 506-1082
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704235913
MI
225700000X
Massage Therapist
Primary
7501001231
MI
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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