| NPI | 1326506742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY LYNN GREGG-DUCHEMIN Practitioner 231-747-9163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-09-21 |