Individual
MS. RENEE MARIE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MS, MA
Contact information
Practice address
7047 CHANNEL RD, PETOSKEY, MI 49770-9623
(231) 330-5657
Mailing address
7047 CHANNEL RD, PETOSKEY, MI 49770-9623
(231) 330-5657
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
224Y00000X
Clinical Exercise Physiologist
—
MI
225700000X
Massage Therapist
Primary
7501006016
MI
Other
Enumeration date
12/04/2020
Last updated
01/19/2021
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