Individual
SUSAN KAUGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
715 RIVER PARK VILLAGE BLVD, NORTHVILLE, MI 48167-2777
(248) 444-7142
Mailing address
715 RIVER PARK VILLAGE BLVD, NORTHVILLE, MI 48167-2777
(248) 444-7142
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004776
MI
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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