Individual
MS. JADA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2170 E JEFFERSON AVE, DETROIT, MI 48207-4109
(248) 277-2134
Mailing address
2170 E JEFFERSON, DETROIT, MI 48207-4109
(248) 277-2134
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010890
MI
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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