Individual
HEATHER JEAN KIERCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6111 JACKSON RD, SUITE 108, ANN ARBOR, MI 48103-9167
(734) 216-1582
Mailing address
PO BOX 580, SALINE, MI 48176-0580
(734) 216-1582
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
589605-10
MI
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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