Individual
JAMIE ELLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
125 E CAPAC RD, IMLAY CITY, MI 48444-1111
(810) 724-0996
(810) 724-4343
Mailing address
125 E CAPAC RD, IMLAY CITY, MI 48444-1111
(810) 724-0996
(810) 724-4343
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501006848
MI
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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