Individual
LESLIE ALIISON BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4555 WILSON AVE SW STE 2A, GRANDVILLE, MI 49418-2370
(734) 347-8831
Mailing address
1247 36TH ST SW, WYOMING, MI 49509-3415
(734) 347-8831
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501009419
MI
Other
Enumeration date
04/26/2023
Last updated
04/29/2023
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