Individual
VANESSA RAE FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1286 MARY DR, WAYLAND, MI 49348-9381
(269) 225-7610
Mailing address
1286 MARY DR, WAYLAND, MI 49348-9381
(269) 225-7610
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501011601
MI
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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