Individual
LYNNITH MAXIMUS TEETSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
218 FAST ICE DR, MIDLAND, MI 48642-6167
(989) 631-2320
Mailing address
301 S CRAPO ST STE 200, MOUNT PLEASANT, MI 48858-2941
(989) 772-5938
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
175T00000X
Peer Specialist
Primary
1780344465
MI
Other
Enumeration date
12/22/2021
Last updated
07/31/2026
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