Individual
KAYLA NICOLE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1816 W JOHN BEERS RD, STEVENSVILLE, MI 49127-9434
(269) 235-4784
Mailing address
2880 COLOMA RD, BENTON HARBOR, MI 49022-9520
(269) 235-4784
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501007108
MI
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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