Individual
MR. MICHAEL SCOTT MOFFIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
5988 VENTURE PARK DR, KALAMAZOO, MI 49009-2825
(269) 492-7205
(269) 492-7204
Mailing address
5988 VENTURE PARK DR, KALAMAZOO, MI 49009-2825
(269) 492-7205
(269) 492-7204
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
53006
MI
Other
Enumeration date
03/26/2009
Last updated
03/26/2009
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