Individual
CHARLA LEE SWEAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT, LMT
Contact information
Practice address
6290 JUPITER DRIVE, SUITE C, BELMONT, MI 49306
(616) 724-7613
Mailing address
3751 BRIGGS BLVD NE, GRAND RAPIDS, MI 49525-2182
(616) 724-7613
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501005958
MI
225700000X
Massage Therapist
—
MI
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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