MICHIGAN MYOTHERAPY CLINIC PLLC (NPI# 1851748305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851748305 |
| Entity Type | Organization |
| Organization Name | MICHIGAN MYOTHERAPY CLINIC PLLC |
| Practice Address |
1221 Briarwood Dr Port Huron MI 48060-2092 |
| Practice Telephone | 8104880787 |
| Enumeration Date | 2016-05-14 |
| Last Update Date | 2016-05-14 |
| Authorized Official Name | CHRISTINE GLORIA SARABIA (INDEPENDENT CONTRACTOR) |
| Authorized Official Telephone | 9493268989 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 7501005929 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1221 BRIARWOOD DR |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-2092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245607233 | Joshua Allen Cole | Massage Therapist | 1221 Briarwood Dr, Port Huron, MI 48060-2092 | 2015-08-26 |
| 1154922524 | Coles Comprehensive Home Care LLC | In Home Supportive Care | 1221 Briarwood Dr, Port Huron, MI 48060-2092 | 2020-11-03 |
| 1790280899 | Blue Water Medical Massage Pllc | Massage Therapist | 1221 Briarwood Dr, Port Huron, MI 48060-2092 | 2018-03-29 |
| 1194198184 | Ashley Pickering | Massage Therapist | 1221 Briarwood Dr, Port Huron, MI 48060-2092 | 2015-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259737 | Nicole Michelle Szymkowski | Massage Therapist | 3019 Barlow St, Port Huron, MI 48060-6952 | 2020-09-12 |
| 1336673938 | Taylor Joseph Clinkscales | Massage Therapist | 1420 Beard St, Port Huron, MI 48060-6564 | 2017-04-20 |
| 1538510086 | Tracy Easton | Massage Therapist | 2627 Vanness St, Port Huron, MI 48060-6847 | 2016-06-27 |
| 1245603158 | Robin Mollan | Massage Therapist | 2838 Mason Ave, Port Huron, MI 48060-6526 | 2015-11-02 |
| 1245607233 | Joshua Allen Cole | Massage Therapist | 1221 Briarwood Dr, Port Huron, MI 48060-2092 | 2015-08-26 |
| 1538554589 | Bobbie Miron | Massage Therapist | 4217 Maes Dr, Port Huron, MI 48060-7718 | 2015-04-06 |
| 1790280899 | Blue Water Medical Massage Pllc | Massage Therapist | 1221 Briarwood Dr, Port Huron, MI 48060-2092 | 2018-03-29 |
| 1194198184 | Ashley Pickering | Massage Therapist | 1221 Briarwood Dr, Port Huron, MI 48060-2092 | 2015-11-12 |
| 1083919401 | Kimberly Ann Kornieck | Massage Therapist | 1117 Stone St, Suite 4, Port Huron, MI 48060-3525 | 2011-01-15 |
| 1164625323 | Marie Niedzwiecki | Massage Therapist | 2875 Henry St, Port Huron, MI 48060-2526 | 2007-06-06 |
| Find all providers in PORT HURON | ||||
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on MICHIGAN MYOTHERAPY CLINIC PLLC.
| 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.