NPI 1265891345

Lynette Vail, MT

Practitioner Massage Therapist Riverview, MI

Practice location

Address: 14460 King Rd, Riverview, MI 48193-7939
Phone: (734) 925-6115
Mailing address: 18270 Marsha St, Riverview, MI 48193-7474

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 7501000496 (MI)

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Registry record

NPI: 1265891345
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Feb 2016
Record last updated: 17 Feb 2016

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.