Individual
SANDRA RUTH MCKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSE
Contact information
Practice address
33200 SCHOOLCRAFT RD STE 111, LIVONIA, MI 48150-1643
(734) 419-1753
Mailing address
33200 SCHOOLCRAFT RD STE 111, LIVONIA, MI 48150-1643
(734) 419-1753
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501002253
MI
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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