Most Relevant Information
Provider Data
| NPI Number: | 1003177411 |
| Provider Name: | AMY DESHANO |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/01/2012 |
| Last Updated: | 06/01/2012 |
Provider Practice Location
33655 PONDVIEW CIR
LIVONIA
MI
481521471
Practice Location Phone/Fax
| Phone: | 7345255400 |
| Fax: |
Provider Mailing Location
33655 PONDVIEW CIR
LIVONIA
MI
481521471
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |