Jeremy Daniel Powell
Jeremy Daniel Powell is a Massage Therapist in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2022
Practice location Address checks out
23105 Providence Dr Apt 316Southfield, MI 48075-3653
Phone: (805) 940-7153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 7501014893 (MI) |
|---|
Record details
| NPI number | 1780308056 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 30, 2022 |
| Last updated in NPPES | September 30, 2022 |
| Certification date | September 1, 2022 |
| Mailing address | 23105 Providence Dr Apt 316, Southfield, MI 48075-3653 |
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