Individual provider · Type 1 NPI

Latia Flewellyn, LMT

Massage Therapist · Detroit, MI

NPI number 1366052433 Active

Practice location

8325 E Jefferson Ave
Detroit, MI 48214-2797

Call (313) 566-4866 Map

Mailing address

4875 Chalmers St
Detroit, MI 48215-2162

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501008822 (MI)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1366052433

Latia Flewellyn, LMT's National Provider Identifier is 1366052433, issued on Aug 4, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Detroit, MI. The record was last updated on Aug 4, 2020.