SearchMichigan225X00000X

Jessica Loose, MOTRL

NPI 1336511393 · on the registry since 2015 · sole proprietor

Practice

Address
3205 Supply Rd
Traverse City, MI 49696
Phone
(231) 935-1070
Clinicians at this address
4

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-02-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan