Individual
REBECCA L KOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2109 HAMILTON RD, SUITE 120, OKEMOS, MI 48864-1772
(517) 214-7277
Mailing address
2109 HAMILTON RD, SUITE 120, OKEMOS, MI 48864-1772
(517) 214-7277
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501000288
MI
Other
Enumeration date
02/19/2013
Last updated
02/28/2017
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