Individual
GARRY AL ADKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCTMB
Contact information
Practice address
29532 SOUTHFIELD RD STE 106, SOUTHFIELD, MI 48076-2023
(248) 701-8306
Mailing address
29532 SOUTHFIELD RD STE 106, SOUTHFIELD, MI 48076-2023
(248) 701-8306
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004693
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7501004693
MASSAGE THERAPIST LICENSING
MI
Enumeration date
08/03/2018
Last updated
08/03/2018
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