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Ms. Carly Jade Potter
Massage Therapist in Madison Heights, Michigan
NPI 1154936961

Carly Jade Potter is a Massage Therapist based in Madison Heights, MI. Carly Jade Potter practices in Madison Heights, MI. The NPI Number for Carly Jade Potter is 1154936961 and holds a License No. 7501011615 (Michigan).

The current practice location address for Carly Jade Potter is 216 Royal Park Ln, Madison Heights, MI and can be reached out via phone at 248-632-6425.

Location: 216 Royal Park Ln, Madison Heights, MI, 48071-4520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154936961
Provider Name
Carly Jade Potter
Credential
Provider Entity Type
Individual
Gender
Female
Address
216 Royal Park Ln, Madison Heights, MI, 48071-4520
Phone Number
248-632-6425
Fax Number
Provider Enumeration Date
09/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
216 Royal Park Ln
City
Madison Heights
State
Michigan
Zip
48071-4520
Phone Number
248-632-6425
Fax Number
person
Provider Business Mailing Address Details
Address
216 Royal Park Ln
City
Madison Heights
State
Michigan
Zip
48071-4520
Phone Number
248-632-6425
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
7501011615 (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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