Individual
AKALA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
30654 CREST FRST, FARMINGTON HILLS, MI 48331-1057
(989) 980-2161
Mailing address
30654 CREST FRST, FARMINGTON HILLS, MI 48331-1057
(989) 980-2161
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501009703
MI
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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