Individual
MS. JENNIFER SUSANNE KETCHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2600 EATON RAPIDS RD, LANSING, MI 48911
(517) 887-7599
Mailing address
2600 EATON RAPIDS RD, LANSING, MI 48911
(517) 887-7599
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004034
MI
225700000X
Massage Therapist
—
MI
Other
Enumeration date
12/10/2008
Last updated
03/26/2020
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