MIRACLE SALON & SPA DBA NATURAL WELLNESS (NPI# 1376755918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376755918 |
| Entity Type | Organization |
| Organization Name | MIRACLE SALON & SPA DBA NATURAL WELLNESS |
| Practice Address |
6632 Summerfield Rd Temperance MI 48182-1339 |
| Practice Telephone | 7348509355 |
| Practice Fax Number | 7348509356 |
| Mailing Telephone | 7348509355 |
| Mailing Fax Number | 7348509356 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL HOLLERBACH (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 7348509355 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | 10293 | OH | Other Service Providers |
| Street Address |
6632 SUMMERFIELD RD |
| City | TEMPERANCE |
| State | MI |
| Zip Code | 48182-1339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982186771 | Ruben J Loo | Physical Therapist | 2000 W. Dean Road, Temperance, MI 48182 | 2018-08-29 |
| 1356881460 | Chelsea Engler | Licensed Practical Nurse | 22230 Camille, Temperance, MI 48182 | 2017-03-08 |
| 1801252291 | Charles Dean Tabbert | Nurse Anesthetist, Certified Registered | 3661 Saint Anthony Rd, Temperance, MI 48182 | 2016-01-14 |
| 1023360229 | Tamara Ruth Ciha | Technician, Other | 1070 North Park Dr, Temperance, MI 48182 | 2012-10-11 |
| 1356651004 | Meghanne Denise Decant | Registered Nurse | 2128 W Rauch Rd, Temperance, MI 48182 | 2010-10-15 |
| 1639325202 | Joanne Marie Segura | Licensed Practical Nurse | 6711 Summerfield, Temperance, MI 48182 | 2008-08-14 |
| 1952564775 | Kaye Cecelia Shepherd | Home Health Aide | 3346 St Anthony Road, Temperance, MI 48182 | 2008-07-02 |
| 1467638494 | Aspen Ridge, LLC | Skilled Nursing Facility | 951 Hickory Creek Blvd., Temperance, MI 48182 | 2008-01-22 |
| 1144406703 | Liberty Compounding Pharmacy, LLC | Pharmacy | 7355 Lewis Ave, Suite D, Temperance, MI 48182 | 2008-01-14 |
| 1760698724 | Rebecca Ann Pasko | Counselor | 9035 Lewis Ave, Temperance, MI 48182 | 2007-05-15 |
| Find all providers in zip 48182 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124562954 | Andrew Goforth | Mechanotherapist | 3308 Arbor Dr, Fenton, MI 48430-3127 | 2016-12-13 |
| 1285177162 | Rashida Bennett El | Mechanotherapist | 13218 Stoepel St, Detroit, MI 48238-3187 | 2016-11-28 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1790231603 | Ashley Paige Taylor | Mechanotherapist | 9790 E M 21, Ovid, MI 48866-9413 | 2016-08-30 |
| 1447704259 | Maria G Sanchez | Mechanotherapist | 903 Dexter St, Milan, MI 48160-1160 | 2016-08-09 |
| 1083060925 | Gregory Fyfe | Mechanotherapist | 2506 Crossing Cir Ste A, Traverse City, MI 49684-7955 | 2016-05-10 |
| 1689034282 | Rachel Jennifer Cooper | Mechanotherapist | 120 Laurel Leah, Fenton, MI 48430-8784 | 2016-02-25 |
| 1518354638 | Judy Liu Ramsey | Mechanotherapist | 220 Collingwood St, Suite 130, Ann Arbor, MI 48103-3842 | 2015-04-16 |
| 1902291198 | Michigan Imassage | Mechanotherapist | 140 W River St, Suite 10, Cadillac, MI 49601-1862 | 2015-04-03 |
| 1598156382 | Pamela Wilcox | Mechanotherapist | 29344 Hoover Rd, Ste 206, Warren, MI 48093-3441 | 2015-02-14 |
| Find all providers with the same taxonomy | ||||
| City | TEMPERANCE |
| Zip Code | 48182 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.