Individual
DANIEL ARMAND LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
916 ELDRIDGE DR, KALAMAZOO, MI 49006-5444
(616) 706-3999
Mailing address
916 ELDRIDGE DR, KALAMAZOO, MI 49006-5444
(616) 706-3999
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004480
MI
Other
Enumeration date
01/30/2016
Last updated
01/30/2016
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