Daris W Bass, LMT | |
25688 W 12 Mile Rd Apt 104, Southfield, MI 48034-8001 | |
(313) 515-4133 | |
Not Available |
Full Name | Daris W Bass |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 25688 W 12 Mile Rd Apt 104, Southfield, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538828512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 7501001766 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Daris W Bass, LMT 25688 W 12 Mile Rd Apt 104, Southfield, MI 48034-8001 Ph: (248) 340-3517 | Daris W Bass, LMT 25688 W 12 Mile Rd Apt 104, Southfield, MI 48034-8001 Ph: (313) 515-4133 |
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