Individual
AMY LYNN BREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 N MAIN ST, CASNOVIA, MI 49318
(616) 520-1636
Mailing address
15110 LAKETON AVE, RAVENNA, MI 49451-9714
(616) 520-1636
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501007390
MI
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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