Individual
KATIE STOAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
8724 FERRY ST, MONTAGUE, MI 49437-1210
(231) 557-2869
Mailing address
1925 SHADY OAK DR, MUSKEGON, MI 49445-1692
(231) 557-2869
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501007315
MI
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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