| NPI | 1790180396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE KEAVENY Licensed Massage Therapist 248-320-1310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: MI 7501003479) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |