Mary Ericson, LMT

NPI #1073997540 in Northville, Michigan

Provider Information

NPI Number: 1073997540
Entity Type: Individual
Name: Mary Ericson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jul 15, 2015
Last Updated: Apr 26, 2016

Practice Location

Address: 145 N CENTER ST
Address 2: SUITE A
City: Northville
State: Michigan
ZIP Code: 48167-1472
Phone: (248) 425-3675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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