Individual
LEA BRUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4798 MONTMORENCY ST, LEWISTON, MI 49756-7881
(989) 915-3915
Mailing address
PO BOX 212, LEWISTON, MI 49756-0212
(989) 915-3915
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501016105
MI
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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