Individual
TRICIA O ROURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, LMT
Contact information
Practice address
111 W MITCHELL ST, GAYLORD, MI 49735-1481
(989) 732-3626
Mailing address
111 W MITCHELL ST, GAYLORD, MI 49735-1481
(989) 732-3626
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501002044
MI
Other
Enumeration date
03/10/2015
Last updated
11/05/2015
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