Individual
MRS. KATIE M DECENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
35555 GARFIELD RD, STE. 3, CLINTON TWP, MI 48035
(586) 420-0425
Mailing address
3560 FOX HILL DR, STERLING HEIGHTS, MI 48310-3039
(586) 420-0425
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
L2519541
MI
Other
Enumeration date
09/16/2013
Last updated
07/30/2018
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