Organization
MIRAGE THERAPEUTIC TOUCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNETTE MARSHALL-SIMS BCTMB, LMT (MASSAGE THERAPIST)
(248) 346-5948
Entity
Organization
Contact information
Practice address
19603 MOENART ST, DETROIT, MI 48234-2309
(248) 346-5948
Mailing address
19603 MOENART ST, DETROIT, MI 48234-2309
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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