Individual
CARRIE HINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 W SUPERIOR ST, WAYLAND, MI 49348-1226
(269) 792-4440
(616) 965-2475
Mailing address
12330 OAKWOOD SHORES ST, WAYLAND, MI 49348-9303
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501007732
MI
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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