Organization
SPA LAND MOBILE SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY ALI (PRESDIENT)
(833) 221-4169
Entity
Organization
Contact information
Practice address
12636 W OUTER DR, DETROIT, MI 48223-3202
(833) 221-4169
Mailing address
12636 W OUTER DR, DETROIT, MI 48223-3202
(833) 221-4169
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/30/2024
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