Individual
MICHAEL PAUL FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1770 HAWTHORNE PKWY, GROVE CITY, OH 43123-9210
(614) 946-7666
Mailing address
1770 HAWTHORNE PKWY, GROVE CITY, OH 43123-9210
(614) 946-7666
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.010053
OH
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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