Individual
DEBORAH A WITHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
57424 MEGAN DR, WASHINGTON TWP, MI 48094-3816
(586) 255-7471
Mailing address
5980 MARINE PKWY APT H110, MENTOR ON THE LAKE, OH 44060-8502
(216) 258-6146
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501016128
MI
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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