Individual
JUDITH ANN CORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
701 BEECH ST, CLARE, MI 48617-1427
(989) 386-2384
Mailing address
7080 SPRINGWOOD LAKE RD, HARRISON, MI 48625-8208
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501005547
MI
Other
Enumeration date
07/13/2017
Last updated
03/17/2018
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