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Mrs. Autumn N Bahlke, LMT
Massage Therapist in Grandville, Michigan
NPI 1114542958

Autumn N Bahlke is a Massage Therapist based in Grandville, MI. Autumn N Bahlke practices in Grandville, MI and has the professional credentials of LMT. The NPI Number for Autumn N Bahlke is 1114542958 and holds a License No. 7501003583 (Michigan).

The current practice location address for Autumn N Bahlke is 3010 Wilson Ave Sw, Grandville, MI and can be reached out via phone at 616-249-8141.

Location: 3010 Wilson Ave Sw, Grandville, MI, 49418-1242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114542958
Provider Name
Autumn N Bahlke
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
3010 Wilson Ave Sw, Grandville, MI, 49418-1242
Phone Number
616-249-8141
Fax Number
Provider Enumeration Date
06/08/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7501003583 01 MI NA
institution
Provider Business Practice Location Address Details
Address
3010 Wilson Ave Sw
City
Grandville
State
Michigan
Zip
49418-1242
Phone Number
616-249-8141
Fax Number
person
Provider Business Mailing Address Details
Address
3010 Wilson Ave Sw
City
Grandville
State
Michigan
Zip
49418-1242
Phone Number
616-249-8141
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
7501003583 (Michigan)
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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