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Mateen Threlkeld, MASSAGETHERAPIST
Massage Therapist in Waterford, Michigan
NPI 1083191399

Mateen Threlkeld is a Massage Therapist based in Pontiac, MI. Mateen Threlkeld practices in Waterford, MI and has the professional credentials of MASSAGETHERAPIST. The NPI Number for Mateen Threlkeld is 1083191399 and holds a License No. (Michigan).

The current practice location address for Mateen Threlkeld is 1265 W Huron St Ste 101, Waterford, MI and can be reached out via phone at 248-977-4594.

Location: 1265 W Huron St Ste 101, Waterford, MI, 48341-2337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083191399
Provider Name
Mateen Threlkeld
Credential
MASSAGETHERAPIST
Provider Entity Type
Individual
Gender
Male
Address
1265 W Huron St Ste 101, Waterford, MI, 48341-2337
Phone Number
248-977-4594
Fax Number
Provider Enumeration Date
07/19/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PL1743888 01 LIABILITY INSURANCE
institution
Provider Business Practice Location Address Details
Address
1265 W Huron St Ste 101
City
Waterford
State
Michigan
Zip
48328-3677
Phone Number
248-977-4594
Fax Number
person
Provider Business Mailing Address Details
Address
1265 W Huron St Ste 101
City
Waterford
State
Michigan
Zip
48328-3677
Phone Number
248-977-4594
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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