Individual
THOMAS CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 LIVERNOIS ST STE 6, FERNDALE, MI 48220-2304
(313) 444-2423
Mailing address
530 LIVERNOIS ST, FERNDALE, MI 48220-2304
(313) 444-2423
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501016453
MI
Other
Enumeration date
08/19/2025
Last updated
09/23/2025
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