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Kawonna Pittman, MASSAGETHERAPIST
Massage Therapist in Detroit, Michigan
NPI 1275191538

Kawonna Pittman is a Massage Therapist based in Detroit, MI. Kawonna Pittman practices in Detroit, MI and has the professional credentials of MASSAGETHERAPIST. The NPI Number for Kawonna Pittman is 1275191538 and holds a License No. (Michigan).

The current practice location address for Kawonna Pittman is 15400 Grand River Ave, Detroit, MI and can be reached out via phone at 313-758-8955.

Location: 15400 Grand River Ave, Detroit, MI, 48227-1800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275191538
Provider Name
Kawonna Pittman
Credential
MASSAGETHERAPIST
Provider Entity Type
Individual
Gender
Female
Address
15400 Grand River Ave, Detroit, MI, 48227-1800
Phone Number
313-758-8955
Fax Number
Provider Enumeration Date
06/03/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NONE 01 NONE
institution
Provider Business Practice Location Address Details
Address
15400 Grand River Ave
City
Detroit
State
Michigan
Zip
48227-4124
Phone Number
313-758-8955
Fax Number
person
Provider Business Mailing Address Details
Address
15400 Grand River Ave
City
Detroit
State
Michigan
Zip
48227-4124
Phone Number
313-758-8955
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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