Individual
TAYLOR MARIE KNETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
180 N PINE ST, GWINN, MI 49841-9669
(906) 204-6848
(906) 204-6848
Mailing address
180 N PINE ST, GWINN, MI 49841-9669
(906) 204-6848
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010311
MI
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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