Individual
MRS. ELISSA MARIE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
118 MINNEHAHA ST, ROSCOMMON, MI 48653-7118
(586) 744-1796
Mailing address
118 MINNEHAHA ST, ROSCOMMON, MI 48653-7118
(586) 744-1796
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501006536
MI
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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