Individual provider · Type 1 NPI

Holly Lodge, MT

Massage Therapist · Dearborn, MI

NPI number 1962670281 Active

Practice location

3413 Edgewood St
Dearborn, MI 48124-4167

Call (313) 930-9139 Map

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 1962670281

Holly Lodge, MT's National Provider Identifier is 1962670281, issued on Feb 20, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Dearborn, MI. The record was last updated on Feb 20, 2008.