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General NPI Number Information
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NPI Number | 1891654240
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Entity Type | Organization
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Legal Business Name | ALYSSA NANCY KING
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 102 W CHICAGO BLVD STE 103
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City | TECUMSEH
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State | MI
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Zip | 49286-1569
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Country | US
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Telephone | 517-673-6076
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Fax | 517-652-0138
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Provider Business Mailing Address
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Address Line | 1440 W CHICAGO BLVD # 105
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City | TECUMSEH
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State | MI
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Zip | 49286-8727
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Country | US
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Telephone | 517-673-6076
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Fax | 517-652-0138
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Authorized Official
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Title or Position | OWNER - MASSAGE THERAPIST
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Name | ALYSSA NANCY KING
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Credential | LMT
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Telephone | 517-673-6076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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