NPI 1104392653

Emanuel Borden, LMT

Practitioner Massage Therapist Detroit, MI

Practice location

Address: 12020 Lakepointe St, Detroit, MI 48224-4110
Phone: (313) 617-4208

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 7501007293 (MI)

Other Massage Therapist providers in Michigan →

Registry record

NPI: 1104392653
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Oct 2018
Record last updated: 22 Oct 2018

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.