Individual
LEE INDIANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RMT
Contact information
Practice address
12271 SAINT ANDREWS WAY, FENTON, MI 48430-8880
(810) 423-3414
Mailing address
12271 SAINT ANDREWS WAY, FENTON, MI 48430-8880
(810) 423-3414
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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