Organization
EXER-SSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IYESHA WEAVER (SOLE PROPRIETOR)
(313) 363-8475
Entity
Organization
Contact information
Practice address
24777 GREENFIELD RD, SOUTHFIELD, MI 48075-3065
(313) 363-8475
Mailing address
PO BOX 351, WARREN, MI 48090-0351
(313) 363-8475
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/13/2017
Last updated
11/14/2017
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