Individual
MRS. MARYHELEN HURLEY WYCKSTANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 E CAPAC RD, IMLAY CITY, MI 48444-1111
(810) 724-0996
Mailing address
125 E CAPAC RD, IMLAY CITY, MI 48444-1111
(810) 724-0996
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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