Individual
KATREVA BISBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
809 CENTER ST STE 9A, LANSING, MI 48906-5258
(517) 980-6183
Mailing address
809 CENTER ST STE 9A, LANSING, MI 48906-5258
(517) 980-6183
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
MI
225700000X
Massage Therapist
Primary
7501001380
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225700000X
TAXONOMY
MI
Enumeration date
06/29/2015
Last updated
10/29/2024
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