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Individual

TISHA LASHEA MCNEIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17250 W 12 MILE RD STE 112, SOUTHFIELD, MI 48076-2110
(248) 242-2170
Mailing address
14112 PREVOST ST, DETROIT, MI 48227-1855
(248) 242-2170

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501006381
MI

Other

Enumeration date
06/16/2026
Last updated
06/16/2026
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