Individual
MRS. JAMIE LYNN FAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
22441 B DR S, MARSHALL, MI 49068-9722
(269) 317-0568
Mailing address
22441 B DR S, MARSHALL, MI 49068-9722
(269) 317-0568
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501000712
MI
Other
Enumeration date
09/06/2013
Last updated
09/24/2022
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