Individual
NYRIE CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
834 KING HWY STE 120, KALAMAZOO, MI 49001-2579
(269) 529-0702
Mailing address
3125 FULFORD ST, KALAMAZOO, MI 49001-4491
(269) 806-1087
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501015098
MI
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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