Individual
KAIA LARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28551 SOUTHFIELD RD, LATHRUP VILLAGE, MI 48076-2723
(313) 888-4141
Mailing address
14056 ASHTON RD, DETROIT, MI 48223-3532
(313) 888-4141
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501001518
MI
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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