Individual
MEAGHAN DECOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 ASHER CT STE 100, EAST LANSING, MI 48823-8444
(517) 351-9240
Mailing address
3641 BOLERO DR, EAST LANSING, MI 48823-8378
(520) 444-7682
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501014190
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7501014190
BOARD OF MASSAGE THERAPY
MI
Enumeration date
10/18/2022
Last updated
10/18/2022
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