Individual
POLLY A SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
227 S BRIDGE ST, GRAND LEDGE, MI 48837-1591
(616) 256-0755
Mailing address
8045 DAN C LN, PORTLAND, MI 48875-9552
(616) 256-0755
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MI
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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