Individual
CHARLEEN FEWTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8089 STADIUM DR # DT, KALAMAZOO, MI 49009-6270
(269) 888-3608
Mailing address
65578 PARKWOOD CT, PAW PAW, MI 49079-9779
(219) 380-6280
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501007887
MI
Other
Enumeration date
01/18/2018
Last updated
03/17/2018
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