Individual
SHIRLEY LENEVA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T., R.D.H.
Contact information
Practice address
92 W NEPESSING ST, LAPEER, MI 48446-2144
(810) 664-8852
Mailing address
190 E BORLAND RD, IMLAY CITY, MI 48444-9758
(810) 614-6903
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
L572430
MI
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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