Body Essentials Therapeutic Massage, LLC

NPI #1134586910 in Allen Park, Michigan

Provider Information

NPI Number: 1134586910
Entity Type: Organization
Organization Name: Body Essentials Therapeutic Massage, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: UNKNOWN
Primary Specialty: Massage Therapist
Enumeration Date: Jan 25, 2016
Last Updated: Jan 25, 2016

Practice Location

Address: 7740 ALLEN RD
City: Allen Park
State: Michigan
ZIP Code: 48101-1795
Phone: (313) 383-4263

Authorized Official

Name: RAYLEEN JUSTICE, RN, LMT
Title: MEMBER/OWNER
Phone: (313) 383-4263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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