Individual
TAKERA A LAWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
26150 5 MILE RD STE 1D, REDFORD, MI 48239-3244
(313) 676-8889
Mailing address
26150 5 MILE RD STE 1D, REDFORD, MI 48239-3244
(313) 676-8889
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501006887
MI
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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