Individual
TINA THUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CEP
Contact information
Practice address
5325 ELLIOTT DR, YPSILANTI, MI 48197-8633
(734) 712-5224
Mailing address
5325 ELLIOTT DR, YPSILANTI, MI 48197-8633
(734) 712-5224
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
930463
MI
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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