Individual
PAMELA CHRISTINE KETCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
204 W GRAND RIVER AVE, SUITE 240, HOWELL, MI 48843-2299
(810) 599-6486
Mailing address
204 W GRAND RIVER AVE, SUITE 240, HOWELL, MI 48843-2299
(810) 599-6486
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154742
AMTA
—
Enumeration date
07/18/2011
Last updated
07/18/2011
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