Individual
DEBRA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
124 S STATE RD, DAVISON, MI 48423-1347
(810) 886-1028
Mailing address
10230 SHERIDAN RD, MILLINGTON, MI 48746-9338
(906) 369-5600
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501000210
MI
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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