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Ms. Holly Lodge, MT
Massage Therapist in Dearborn, Michigan
NPI 1962670281

Holly Lodge is a Massage Therapist based in Dearborn, MI. Holly Lodge practices in Dearborn, MI and has the professional credentials of MT. The NPI Number for Holly Lodge is 1962670281 and holds a License No. (Michigan).

The current practice location address for Holly Lodge is 3413 Edgewood St, Dearborn, MI and can be reached out via phone at 313-930-9139.

Location: 3413 Edgewood St, Dearborn, MI, 48124-4167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962670281
Provider Name
Holly Lodge
Credential
MT
Provider Entity Type
Individual
Gender
Female
Address
3413 Edgewood St, Dearborn, MI, 48124-4167
Phone Number
313-930-9139
Fax Number
Provider Enumeration Date
02/20/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3413 Edgewood St
City
Dearborn
State
Michigan
Zip
48124-4167
Phone Number
313-930-9139
Fax Number
person
Provider Business Mailing Address Details
Address
3413 Edgewood St
City
Dearborn
State
Michigan
Zip
48124-4167
Phone Number
313-930-9139
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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