Individual
KATHERINE MARIE GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
207 LEGATO DR, WALLED LAKE, MI 48390-3423
(248) 896-2799
Mailing address
207 LEGATO DR, WALLED LAKE, MI 48390-3423
(248) 896-2799
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501005798
MI
Other
Enumeration date
07/05/2024
Last updated
07/19/2024
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