Individual
LORI ELLEN SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3150 LIVERNOIS RD STE 140, TROY, MI 48083-5000
(248) 264-3338
(248) 498-6645
Mailing address
3150 LIVERNOIS RD STE 140, TROY, MI 48083-5000
(248) 264-3338
(248) 498-6645
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501016636
MI
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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