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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. HOLLY LODGE, MT

Active Sole Proprietor

MS. HOLLY LODGE, MT is a Massage Therapist healthcare provider located in DEARBORN, Michigan. NPI 1962670281 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · DEARBORN, MI

Registration Details

NPI Number
1962670281
Provider Type
Individual
Gender
Female
NPI Issued
Feb 20, 2008 (18.437519305368 yrs)
Last Updated
Feb 20, 2008
Sole Proprietor
Yes

Practice Information

Address
3413 EDGEWOOD ST
DEARBORN, MI, 481244167
Browse MI providers · Browse ZIP 48124
Phone
3139309139
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in DEARBORN, MI

Name Credential NPI
CHERYLE HOPPER 1134550692
MELISSA HEPFINGER 1033513593
IOANA GUTU 1548655301
MISTIE LOHRENGEL 1124405550
MELVIN MITCHELL 1336594332
SAMANTHA CRUSE 1447751334
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.