NPI 1083922405

Grace Willow, NCTMB

Practitioner Massage Therapist Traverse City, MI

Practice location

Address: 812 S Garfield Ave STE 1, Traverse City, MI 49686-3456
Phone: (231) 421-9201
Mailing address: 9430 Peninsula Dr, Traverse City, MI 49686-8387

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

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Registry record

NPI: 1083922405
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2010
Record last updated: 10 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.