Organization
LAKESHORE MASSAGE THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELLE REAVEY (OWNER)
(231) 720-0969
Entity
Organization
Contact information
Practice address
1845 LAKESHORE DR, SUITE 4, MUSKEGON, MI 49441-1896
(231) 720-0969
Mailing address
1845 LAKESHORE DR, SUITE 4, MUSKEGON, MI 49441-1896
(231) 720-0969
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501001486
MI
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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