Individual
MR. EDWIND ALLEN HOLSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
908 UNION ST, JACKSON, MI 49203-2897
(517) 945-8117
(517) 945-8117
Mailing address
908 UNION ST, JACKSON, MI 49203-2897
(517) 945-8117
(517) 945-8117
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
L664924
MI
Other
Enumeration date
06/18/2017
Last updated
07/21/2022
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