Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 74648 | MI |
NPI | 1013159250 |
---|---|
Provider Name | Ms. Sarah Joy Pals |
First Address | Grand Haven, MI 49417-1907 |
Second Address | Grand Haven, MI 49417-1907 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2009 |
Last Update Date | 02/04/2009 |