Organization
DEANNA'S THERAPEUTIC MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA GOODWIN C.M.T. (OWNER)
(248) 345-6475
Entity
Organization
Contact information
Practice address
7938 COOLEY LAKE RD, SUITE 400W, WATERFORD, MI 48327-4404
(248) 345-6475
Mailing address
7938 COOLEY LAKE RD, SUITE 400W, WATERFORD, MI 48327-4404
(248) 345-6475
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501000594
MI
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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