Individual
RAECHEL HALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
302 HOOVER BLVD, HOLLAND, MI 49423-3767
(616) 928-1015
Mailing address
302 HOOVER BLVD, HOLLAND, MI 49423-3767
(616) 928-1015
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004138
MI
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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