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Jeremy Powell
NPI 1780308056 · on the registry since 2022 · sole proprietor
Practice
- Address
- 23105 Providence Dr Apt 316
Southfield, MI 48075 - Phone
- (805) 940-7153
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-30
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