Individual
KRYSTAL POLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LMT
Contact information
Practice address
1075 GAULT DR, YPSILANTI, MI 48198-6427
(734) 896-0638
Mailing address
1075 GAULT DR, YPSILANTI, MI 48198-6427
(734) 896-0638
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501015975
MI
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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