Individual
LISA BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6020 W MAPLE RD, WEST BLOOMFIELD, MI 48322-4409
(248) 851-6999
(248) 851-6898
Mailing address
6020 W MAPLE RD, WEST BLOOMFIELD, MI 48322-4409
(248) 851-6999
(248) 851-6898
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MI
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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