Organization
THERAPEUTIC MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREESA MOREEN WEAVER-RICH N.C.T.M.B. (OWNER/MASSAGE THERAPIST)
(517) 439-4263
Entity
Organization
Contact information
Practice address
1342 S HILLSDALE RD, HILLSDALE, MI 49242-9367
(517) 439-4263
(517) 439-4263
Mailing address
1342 S HILLSDALE RD, HILLSDALE, MI 49242-9367
(517) 439-4263
(517) 439-4263
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
196655-00
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196655-00
NATIONAL CERTIFICATION BOARD THERAPEUTIC MASSAGE & BODYWORK
MI
Enumeration date
12/08/2011
Last updated
12/08/2011
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