Individual provider · Type 1 NPI

Kenneth Koolwick

Massage Therapist · Plymouth, MI

NPI number 1396551008 Active

Practice location

15175 N Sheldon Rd
Plymouth, MI 48170-2483

Call (734) 207-1400 Map

Mailing address

9545 Steephollow Dr
White Lake, MI 48386-2370

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1396551008

Kenneth Koolwick's National Provider Identifier is 1396551008, issued on Dec 6, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Plymouth, MI. The record was last updated on Dec 6, 2024.