Individual
AMY ELIZABETH PAVLOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 E CAPAC RD, IMLAY CITY, MI 48444-1111
(810) 724-0996
Mailing address
350 SCOTT RD, KIMBALL, MI 48074-4304
(810) 334-2978
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004609
MI
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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