Individual
EMILY WAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
549 W DUNLAP ST, NORTHVILLE, MI 48167-1408
(734) 812-0797
Mailing address
549 W DUNLAP ST, NORTHVILLE, MI 48167-1408
(734) 812-0797
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501002334
MI
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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