Individual
BEVERLY FOSTER-MAXEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
17460 SALEM ST, DETROIT, MI 48219-5802
(248) 469-8480
Mailing address
17462 SALEM ST, DETROIT, MI 48219-5802
(313) 319-0694
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501000137
MI
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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