Lori Ann Bazzetta, M.T.

NPI #1467714642 in Roseville, Michigan

Provider Information

NPI Number: 1467714642
Entity Type: Individual
Name: Lori Ann Bazzetta, M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: M.T.
Enumeration Date: Jun 13, 2012
Last Updated: Jun 13, 2012

Practice Location

Address: 25267 FORTUNA ST
City: Roseville
State: Michigan
ZIP Code: 48066-3642
Phone: (586) 747-1712

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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