Organization
BREAK FOR MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN BASS LMT (OPERATIONS MANAGER)
(734) 330-3080
Entity
Organization
Contact information
Practice address
3000 TOWN CTR STE 58, SOUTHFIELD, MI 48075-1120
(248) 397-4050
(248) 397-4050
Mailing address
3000 TOWN CTR STE 58, SOUTHFIELD, MI 48075-1120
(248) 397-4050
(248) 397-4050
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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