Most Relevant Information
Provider Data
| NPI Number: | 1003202912 |
| Provider Name: | ELIZABETH MADELL LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 582258 |
Most Important Dates
| Enumeration Date: | 04/08/2015 |
| Last Updated: | 08/04/2021 |
Provider Practice Location
7463 OLD US 31 HWY
LOT 49
PETOSKEY
MI
497708515
Practice Location Phone/Fax
| Phone: | 2318811587 |
| Fax: |
Provider Mailing Location
7463 OLD US 31 HWY
LOT 49
PETOSKEY
MI
497708515
Provider Mailing Phone/Fax
| Phone: | 2318811587 |
| Fax: |