Organization
TABLE FOR ONE MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TINA MARIE ST JOHN RN LMT (LICENSED MASSAGE THERAPIST)
(906) 367-2060
Entity
Organization
Contact information
Practice address
412 MICHIGAN AVE, CRYSTAL FALLS, MI 49920-1416
(906) 367-2060
Mailing address
412 MICHIGAN AVENUE, CRYSTAL FALLS, MI 49920
(906) 367-2060
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
C20010018
MI
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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