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Jeremy Daniel Powell
Massage Therapist in Southfield, Michigan
NPI 1780308056

Jeremy Daniel Powell is a Massage Therapist based in Southfield, MI. Jeremy Daniel Powell practices in Southfield, MI. The NPI Number for Jeremy Daniel Powell is 1780308056 and holds a License No. 7501014893 (Michigan).

The current practice location address for Jeremy Daniel Powell is 23105 Providence Dr Apt 316, Southfield, MI and can be reached out via phone at 805-940-7153.

Location: 23105 Providence Dr Apt 316, Southfield, MI, 48075-3653
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780308056
Provider Name
Jeremy Daniel Powell
Credential
Provider Entity Type
Individual
Gender
Male
Address
23105 Providence Dr Apt 316, Southfield, MI, 48075-3653
Phone Number
805-940-7153
Fax Number
Provider Enumeration Date
09/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
23105 Providence Dr Apt 316
City
Southfield
State
Michigan
Zip
48075-3653
Phone Number
805-940-7153
Fax Number
person
Provider Business Mailing Address Details
Address
23105 Providence Dr Apt 316
City
Southfield
State
Michigan
Zip
48075-3653
Phone Number
805-940-7153
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
7501014893 (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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