Individual
CARRIE MICHELLE GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
903 DEXTER ST, MILAN, MI 48160-1160
(734) 508-7036
Mailing address
903 DEXTER ST, MILAN, MI 48160-1160
(734) 508-7036
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
7501013088
MI
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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