Individual
CORY DARNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24333 SOUTHFIELD RD, SUITE 110, SOUTHFIELD, MI 48075-2822
(313) 477-0675
Mailing address
24333 SOUTHFIELD RD, SUITE 110, SOUTHFIELD, MI 48075-2822
(313) 477-0675
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501000514
MI
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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