Individual
LISA MARIE LETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
410 ERIE ST, SOUTH HAVEN, MI 49090-1324
(269) 455-0571
Mailing address
410 ERIE ST, SOUTH HAVEN, MI 49090-1324
(269) 455-0571
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501005683
MI
Other
Enumeration date
04/07/2018
Last updated
04/07/2018
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