Individual
MALLORY LYNNE SLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCMT, LMT
Contact information
Practice address
92 W NEPESSING ST, LAPEER, MI 48446-2144
(810) 664-8852
(810) 664-8853
Mailing address
92 W NEPESSING ST, LAPEER, MI 48446-2144
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
L573048
MI
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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