MRS. Stephanie Lynn Chan, CMT, NCTMB

NPI #1548530223 in Spring Lake, Michigan

Provider Information

NPI Number: 1548530223
Entity Type: Individual
Name: MRS. Stephanie Lynn Chan, CMT, NCTMB
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: CMT, NCTMB
Enumeration Date: Jan 11, 2012
Last Updated: Jan 11, 2012

Practice Location

Address: 14998 CLEVELAND ST
City: Spring Lake
State: Michigan
ZIP Code: 49456-8992
Phone: (231) 730-2769

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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