Individual
DEANNA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1441 WEXFORD DR, DAVISON, MI 48423-8341
(810) 955-7342
Mailing address
1441 WEXFORD DR, DAVISON, MI 48423-8341
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004262
MI
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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