Individual
MS. KIMBERLY ANN POLCHLOPEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED MASSAGE TH
Contact information
Practice address
7740 ALLEN RD, ALLEK PARK, MI 48101
(313) 383-4263
Mailing address
6781 ARCHDALE, DETROIT, MI 48228
(313) 231-1759
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
32714600
MI
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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