Organization
TAKERA'S THERAPEUTIC MASSAGE PLLC
Active
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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