Individual
TRACY M KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3501 LAKE EASTBROOK BLVD SE STE 345, GRAND RAPIDS, MI 49546-5964
(602) 301-1378
Mailing address
953 FRANKLIN ST SE, GRAND RAPIDS, MI 49507-1324
(602) 301-1378
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501001334
MI
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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