Organization
AXXIS MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE RAYMOND LMT (OWNER)
(734) 773-2600
Entity
Organization
Contact information
Practice address
9864 E GRAND RIVER AVE, STE 110 BOX 191, BRIGHTON, MI 48116-1999
(734) 773-2600
Mailing address
9864 E GRAND RIVER AVE, STE 110 BOX 191, BRIGHTON, MI 48116-1999
(734) 773-2600
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501008986
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073986477
NPI#
—
Enumeration date
01/24/2018
Last updated
01/24/2018
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