Individual
LAKEISHA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
29540 SOUTHFIELD RD STE 100, SOUTHFIELD, MI 48076-2047
(248) 212-1623
(248) 262-7804
Mailing address
8401 KARAM BLVD, WARREN, MI 48093-2175
(313) 585-8817
(248) 262-7804
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010338
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7501010338
STATE OF MICHIGAN
MI
Enumeration date
07/14/2017
Last updated
07/14/2017
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