Individual
AMY CRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5570 WILSON AVE SW, SUITE L, WYOMING, MI 49418-8867
(616) 481-1100
Mailing address
3187 TANSY TRL SW, WYOMING, MI 49418-9153
(616) 481-1100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501009359
MI
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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