Organization
ORION THERAPEUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM PHILLIP SMITH L.M.T. (OWNER/THERAPIST)
(616) 459-7664
Entity
Organization
Contact information
Practice address
1239 ALPINE AVE NW, GRAND RAPIDS, MI 49504-3170
(616) 459-7664
Mailing address
1239 ALPINE AVE NW, GRAND RAPIDS, MI 49504-3170
(616) 459-7664
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501003962
MI
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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