Individual
ALLISON JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, FDN-P
Contact information
Practice address
39319 PLYMOUTH RD STE 5, LIVONIA, MI 48150-1059
(734) 417-3296
Mailing address
39319 PLYMOUTH RD STE 5, LIVONIA, MI 48150-1059
(269) 200-7530
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010803
MI
Other
Enumeration date
09/26/2018
Last updated
12/27/2023
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