Organization
MOBILE MASSAGE OF MICHIGAN LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE MAX GOODING C.M.T. (OWNER)
(517) 937-7961
Entity
Organization
Contact information
Practice address
8059 S PORTAGE RD, JACKSON, MI 49201-8583
(517) 937-7961
Mailing address
8059 S PORTAGE RD, JACKSON, MI 49201-8583
(517) 937-7961
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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