Organization
TAKERA'S THERAPEUTIC MASSAGE PLLC
Active
Other names
Takera's Therapeutic Massage Pllc
Organization subpart
No
Provider details
NPI number
Authorized official
TAKERA LAWERY LMT (OWNER)
(131) 367-6888
Entity
Organization
Contact information
Practice address
26150 5 MILE RD STE 1D, REDFORD, MI 48239-3244
(313) 676-8889
Mailing address
26150 5 MILE RD STE 1D, REDFORD, MI 48239-3244
(313) 676-8889
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669078903
—
MI
Enumeration date
03/08/2021
Last updated
03/08/2021
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