Massage Tea Lc

NPI #1326315433 in Redford, Michigan

Provider Information

NPI Number
1326315433
Entity Type
Organization
Organization Name
Massage Tea Lc
Primary Specialty
Massage Therapist
Enumeration Date
Nov 18, 2011
Last Updated
Nov 18, 2011

Practice Location

Address
27003 PLYMOUTH RD
ZIP Code
48239-2343
Phone
(313) 744-7055

Authorized Official

Name
ANDRE LATELY
Title
PRESIDENT
Phone
(313) 516-5536

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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