Cynthia Prough, NCMTB | |
205 17th St, Jackson, MI 49203-1403 | |
(517) 917-6012 | |
Not Available |
Full Name | Cynthia Prough |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 205 17th St, Jackson, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710251566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 597534-10 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Cynthia Prough, NCMTB 11501 W Michigan Ave, Parma, MI 49269-9333 Ph: (517) 917-6012 | Cynthia Prough, NCMTB 205 17th St, Jackson, MI 49203-1403 Ph: (517) 917-6012 |
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