Individual
CAROLYN HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 W MAIN ST, STOCKBRIDGE, MI 49285-9788
(517) 914-5396
Mailing address
206 W MAIN ST, STOCKBRIDGE, MI 49285-9788
(517) 914-5396
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501006274
MI
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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