Andre Lately is a massage therapist in Redford, MI. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Andre Lately NPI is 1689941783. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
27003 PLYMOUTH RD
REDFORD, MI
ZIP 48239-343
Phone: (313) 744-7055
The enumeration date for this NPI number is 11/18/2011 and was last updated on 11/18/2011.