Willoughby, Dezha

Willoughby, Dezha is an individual health care provider with primary practice located at 229 N Sheldon Rd , Plymouth MI 48170-1524. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Willoughby, Dezha can be contacted via phone (313) 278-4601.

Contact Information

Primary practice address
229 N Sheldon Rd Plymouth MI 48170-1524
Phone: (313) 278-4601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 7501014617 Michigan

Profile Details

NPI number 1568018208
LBN Legal business name Willoughby, Dezha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2019
Last updated Nov 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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