Individual
MRS. AMY J TRAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2483 US HIGHWAY 23 S, ALPENA, MI 49707-4654
(989) 884-3507
Mailing address
2483 US HIGHWAY 23 S, ALPENA, MI 49707-4654
(989) 884-3507
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501007329
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7501007329
STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
02/27/2019
Last updated
02/27/2019
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