Individual
KRISTINA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6590 WOLF LAKE RD, JACKSON, MI 49201-9297
(734) 368-2682
Mailing address
6590 WOLF LAKE RD, JACKSON, MI 49201-9297
(734) 368-2682
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004306
MI
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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