Mobile Massage of Michigan Llc.

NPI #1760734222 in Jackson, Michigan

Provider Information

NPI Number
1760734222
Entity Type
Organization
Organization Name
Mobile Massage of Michigan Llc.
Primary Specialty
Massage Therapist
Enumeration Date
Oct 9, 2012
Last Updated
Oct 9, 2012

Practice Location

Address
8059 S PORTAGE RD
ZIP Code
49201-8583
Phone
(517) 937-7961

Authorized Official

Name
MR. WAYNE MAX GOODING, C.M.T.
Title
OWNER
Phone
(517) 937-7961

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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