Individual provider · Type 1 NPI

Kathy Anne Prouty

Massage Therapist · East Lansing, MI

NPI number 1629401674 Active

Practice location

1780 E Grand River Ave
East Lansing, MI 48823-4998

Call (517) 898-6958 Map

Mailing address

307 Kensington Rd
Lansing, MI 48910-2803

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 1629401674

Kathy Anne Prouty's National Provider Identifier is 1629401674, issued on Aug 14, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in East Lansing, MI. The record was last updated on Aug 14, 2013.