Organization
INTEGRAL MEDICAL MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA MARIE BOMMARITO (OWNER)
(248) 369-6033
Entity
Organization
Contact information
Practice address
393 ADAMS CT, FERNDALE, MI 48220-2423
(248) 369-6033
(248) 282-8581
Mailing address
393 ADAMS CT, FERNDALE, MI 48220-2423
(248) 369-6033
(248) 282-8581
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501000983
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679990881
NPI TYPE 1
MI
Enumeration date
03/25/2014
Last updated
04/25/2017
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