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Mallory Subora, LMT
Massage Therapist in Imlay City, Michigan
NPI 1861192775

Mallory Subora is a Massage Therapist based in Davison, MI. Mallory Subora practices in Imlay City, MI and has the professional credentials of LMT. The NPI Number for Mallory Subora is 1861192775 and holds a License No. 7501006198 (Michigan).

The current practice location address for Mallory Subora is 125 E Capac Rd, Imlay City, MI and can be reached out via phone at 810-724-0996. You can also correspond with Mallory Subora through the mailing address at 289 VAN BUREN CIR, DAVISON, MI - 48423-8569 (mailing address contact number: ).

Location: 125 E Capac Rd, Imlay City, MI, 48423-8569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861192775
Provider Name
Mallory Subora
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
125 E Capac Rd, Imlay City, MI, 48423-8569
Phone Number
810-724-0996
Fax Number
Provider Enumeration Date
03/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 E Capac Rd
City
Imlay City
State
Michigan
Zip
48444-1111
Phone Number
810-724-0996
Fax Number
person
Provider Business Mailing Address Details
Address
289 Van Buren Cir
City
Davison
State
Michigan
Zip
48423-8569
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
7501006198 (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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