Individual
RAVEN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
725 S ADAMS RD, SUITE 190, BIRMINGHAM, MI 48009-6902
(248) 802-6500
Mailing address
725 S ADAMS RD, SUITE 190, BIRMINGHAM, MI 48009-6902
(248) 802-6500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501001216
MI
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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