Most Relevant Information
Provider Data
| NPI Number: | 1003633512 |
| Provider Name: | MICHAEL NEVILLE LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 7501010470 |
Most Important Dates
| Enumeration Date: | 09/25/2024 |
| Last Updated: | 09/25/2024 |
Provider Practice Location
26711 WOODWARD AVE STE 305
HUNTINGTON WOODS
MI
480701369
Practice Location Phone/Fax
| Phone: | 2486314728 |
| Fax: |
Provider Mailing Location
26711 WOODWARD AVE STE 305
HUNTINGTON WOODS
MI
480701369
Provider Mailing Phone/Fax
| Phone: | 2486314728 |
| Fax: |