Individual
MR. JOHN GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2315 COOLIDGE HWY, BERKLEY, MI 48072-1550
(248) 646-6800
Mailing address
2315 COOLIDGE HWY, BERKLEY, MI 48072-1550
(248) 646-6800
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
L523179
MI
Other
Enumeration date
07/12/2016
Last updated
10/19/2016
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