Individual
MR. TREVOR NATHANIEL ELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2020 HOGBACK RD STE 8, ANN ARBOR, MI 48105-9752
(734) 249-8998
Mailing address
304 E FOREST AVE, YPSILANTI, MI 48198-3018
(734) 332-8880
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75010000149
MI
Other
Enumeration date
06/09/2019
Last updated
06/09/2019
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