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Organization

LAVENDER AND SAGE THERAPEUTIC MASSAGE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KAYLA NICOLE MARTINEZ LMT (MASSAGE THERAPIST)
(269) 235-4784
Entity
Organization

Contact information

Practice address
1816 WEST JOHN BEERS RD, STEVENSVILLE, MI 49127
(269) 235-4784
(269) 408-1993
Mailing address
2880 COLOMA RD, BENTON HARBOR, MI 49022
(269) 235-4784
(269) 408-1993

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501007108
MI

Other

Enumeration date
08/29/2017
Last updated
08/29/2017
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