NPI 1205181203

Aja Cenetta Fortenberry

Practitioner Massage Therapist Lansing, MI

Practice location

Address: 215 S Washington Sq Garden Level, Suite a, Lansing, MI 48933-1887
Phone: (517) 285-9772

Registered specialties

Massage Therapist Primary

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

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Registry record

NPI: 1205181203
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2012
Record last updated: 17 Jul 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.