Organization
ADVANCED CENTER THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA RUTH (OFFICE MANAGER)
(989) 975-1965
Entity
Organization
Contact information
Practice address
128 W HURON AVE STE F, BAD AXE, MI 48413-1177
(989) 975-1965
(989) 623-0324
Mailing address
128 W HURON AVE STE F, BAD AXE, MI 48413-1177
(989) 975-1965
(989) 623-0324
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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