Individual
AMIE HAZELWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 E CAPAC RD, IMLAY CITY, MI 48444-1111
(810) 724-0996
Mailing address
PO BOX 12, ATTICA, MI 48412-0012
(810) 969-1011
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501003213
MI
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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