Individual
JOSHUA M MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5967 LEISURE SOUTH DR SE, KENTWOOD, MI 49548-6857
(616) 485-9547
Mailing address
5967 LEISURE SOUTH DR SE, KENTWOOD, MI 49548-6857
(616) 485-9547
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501014457
MI
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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