Individual provider · Type 1 NPI

Glenda Pauletta Evans, LMT

Massage Therapist · Southfield, MI

NPI number 1437713088 Active

Practice location

16200 Fairview Cres
Southfield, MI 48076-1564

Call (313) 938-0565 Map

Other practice locations

  • 25070 Woodvale Dr S, Southfield, MI 48034-1214 · (313) 938-0565

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501011024 (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 1437713088

Glenda Pauletta Evans, LMT's National Provider Identifier is 1437713088, issued on Apr 30, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Southfield, MI. The record was last updated on Dec 28, 2020.