Individual
SAMANTHA RENE' PACKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1447 S OTSEGO AVE, GAYLORD, MI 49735-7739
(989) 732-7000
Mailing address
627 WINTERS RD, GAYLORD, MI 49735-9319
(989) 285-0252
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501011964
MI
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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