Mateen Threlkeld, MASSAGE THERAPIST

NPI #1083191399 in Waterford, Michigan

Provider Information

NPI Number: 1083191399
Entity Type: Individual
Name: Mateen Threlkeld, MASSAGE THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MASSAGE THERAPIST
Enumeration Date: Jul 19, 2018
Last Updated: Jul 19, 2018

Practice Location

Address: 1265 W HURON ST STE 101
City: Waterford
State: Michigan
ZIP Code: 48328-3677
Phone: (248) 977-4594

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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