Individual
LAURA KIM ROTHWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1601 W CENTRE AVE, SUITE 202, PORTAGE, MI 49024-5396
(269) 321-2133
Mailing address
1601 W CENTRE AVE, SUITE 202, PORTAGE, MI 49024-5396
(269) 321-2133
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501006692
MI
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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