Individual provider · Type 1 NPI

Andre Lately

Massage Therapist · Redford, MI

NPI number 1689941783 Active

Practice location

27003 Plymouth Rd
Redford, MI 48239-2343

Call (313) 744-7055 Map

Mailing address

PO Box 4388
Detroit, MI 48204-0388

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 1689941783

Andre Lately's National Provider Identifier is 1689941783, issued on Nov 18, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Redford, MI. The record was last updated on Nov 18, 2011.