Individual
LISA M MADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
121 S STATE ST, OSCODA, MI 48750-1632
(989) 305-0655
Mailing address
435 BISCHOFF RD, TAWAS CITY, MI 48763-9224
(989) 305-0655
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501000052
MI
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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