Individual
KJERSTI DANIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 W LAKE LANSING RD STE B115, EAST LANSING, MI 48823-8439
(517) 420-7860
Mailing address
119 N SHIAWASSEE ST, BANCROFT, MI 48414-7709
(517) 420-7860
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501014470
MI
Other
Enumeration date
06/25/2019
Last updated
08/05/2024
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