Organization
MIRACLE SALON & SPA DBA NATURAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HOLLERBACH LMT (CLINICAL DIRECTOR)
(734) 850-9355
Entity
Organization
Contact information
Practice address
6632 SUMMERFIELD RD, TEMPERANCE, MI 48182-1339
(734) 850-9355
(734) 850-9356
Mailing address
6632 SUMMERFIELD RD, TEMPERANCE, MI 48182-1339
(734) 850-9355
(734) 850-9356
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
10293
OH
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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