Organization
GAYLORD CLINICAL MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA MARIE OROURKE CMT, LMT (OWNER)
(989) 732-3626
Entity
Organization
Contact information
Practice address
111 W MITCHELL ST, GAYLORD, MI 49735-1481
(989) 732-3626
Mailing address
111 W MITCHELL ST, GAYLORD, MI 49735-1481
(989) 732-3626
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
7501002044
MI
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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