Individual
COLBY MARIE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11945 CONQUEST ST, BIRCH RUN, MI 48415
(989) 624-9293
Mailing address
4635 RATHBUN RD, BIRCH RUN, MI 48415
(269) 506-8748
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501014546
MI
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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