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Charles Clagg, LMT
Massage Therapist in Livonia, Michigan
NPI 1831627876

Charles Clagg is a Massage Therapist based in Canton, MI. Charles Clagg practices in Livonia, MI and has the professional credentials of LMT. The NPI Number for Charles Clagg is 1831627876 and holds a License No. 7501010100 (Michigan).

The current practice location address for Charles Clagg is 19159 Merriman Rd, Livonia, MI and can be reached out via phone at 248-477-4408.

Location: 19159 Merriman Rd, Livonia, MI, 48187-2144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831627876
Provider Name
Charles Clagg
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
19159 Merriman Rd, Livonia, MI, 48187-2144
Phone Number
248-477-4408
Fax Number
Provider Enumeration Date
06/02/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7501010100 01 MI MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
institution
Provider Business Practice Location Address Details
Address
19159 Merriman Rd
City
Livonia
State
Michigan
Zip
48152
Phone Number
248-477-4408
Fax Number
person
Provider Business Mailing Address Details
Address
19159 Merriman Rd
City
Livonia
State
Michigan
Zip
48152
Phone Number
248-477-4408
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
7501010100 (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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