Individual
CAROLYN MICHELLE HEIMBUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
211 S CAROLYN DR, LAKE CITY, MI 49651-8501
(231) 429-0986
Mailing address
211 S CAROLYN DR, LAKE CITY, MI 49651-8501
(231) 429-0986
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004307
MI
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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