BLU WATER MEDI SPA SALON, INC (NPI# 1861871956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861871956 |
| Entity Type | Organization |
| Organization Name | BLU WATER MEDI SPA SALON, INC |
| Other Organization Name | BLU WATER SPA SALON |
| Practice Address |
975 S Monroe St Monroe MI 48161-1477 |
| Practice Telephone | 7342424460 |
| Practice Fax Number | 7342424431 |
| Mailing Telephone | 7342424460 |
| Mailing Fax Number | 7342424431 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |
| Authorized Official Name | HEIDI JORDAN (PRESIDENT) |
| Authorized Official Telephone | 7342424460 |
| Authorized Official Credential | CMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Blu Water Spa Salon | Doing Business As Name - Organization |
| Street Address |
975 S MONROE ST |
| City | MONROE |
| State | MI |
| Zip Code | 48161-1477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578584926 | Keith Roydon Barbour | Physical Medicine & Rehabilitation | 975 S Monroe St, Suite C, Monroe, MI 48161-1477 | 2006-07-21 |
| 1952848301 | Timothy James Kellie | Registered Nurse | 975 S Monroe St, Suite C, Monroe, MI 48161-1478 | 2017-01-24 |
| 1568841146 | Heidi Jordan | Massage Therapist | 975 S Monroe St, Monroe, MI 48161-1477 | 2015-05-28 |
| 1073919981 | Barbara Ginther | Physical Therapy Assistant | 975 S Monroe St, Monroe, MI 48161-1477 | 2014-11-05 |
| 1053552836 | Randolph Henry Doom | Chiropractor | 975 S Monroe St, Suite C, Monroe, MI 48161-1477 | 2009-03-09 |
| 1376747816 | Elizabeth Erin Morehead | Specialist/Technologist | 975 S Monroe St, Suite C, Monroe, MI 48161-1477 | 2007-06-11 |
| 1154427599 | Terri A Steppe | Neuromusculoskeletal Medicine & OMM | 975 S Monroe St, Suite C, Monroe, MI 48161-1477 | 2006-09-15 |
| 1255355871 | Rehabilitation Specialists of Monroe P C | Physical Medicine & Rehabilitation | 975 S Monroe St, Suite C, Monroe, MI 48161-1477 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164980967 | James Abrams | Behavior Technician | 2086 South Custer Road, Monroe, MI 48161 | 2019-03-11 |
| 1457841504 | Teresa Anne Clark-jones | Health Educator | Msu Extension Monroe County, 963 S. Raisinville Rd., Monroe, MI 48161 | 2018-05-15 |
| 1174045215 | Ariane E Combs | Counselor | 25 S. Monroe Street, Suite 205, Monroe, MI 48161 | 2017-07-11 |
| 1518341650 | Jennifer Statler | Physical Therapist | 1380 Lake Dr, Unit B, Monroe, MI 48161 | 2015-07-18 |
| 1811376742 | Rainbow Center of Michigan, Inc | Community/Behavioral Health | 14733 S. Telegraph Rd, Monroe, MI 48161 | 2015-05-26 |
| 1356743371 | Samantha Rose Dehring | Counselor | Recovery Zone Counseling, Pllc, 49 South Monroe St. (suite# 175), Monroe, MI 48161 | 2014-09-22 |
| 1598105074 | Busharat Ahmad | Ophthalmology | 774 Windsor Court, Monroe, MI 48161 | 2013-06-28 |
| 1225371032 | Anissa Castelluzzo | Nurse Practitioner | 975 S Monroe St Ste C, Monroe, MI 48161 | 2013-03-29 |
| 1811256274 | Paul Mikels Lmsw LLC | Social Worker | 986 S. Telegraph Rd, Monroe, MI 48161 | 2012-05-04 |
| 1225306798 | Paula Stanifer | Counselor | 14930 Laplaisance Rd #123, Monroe, MI 48161 | 2011-12-12 |
| Find all providers in zip 48161 | ||||
| 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 |
|---|---|---|---|---|
| 1376141994 | Jonathan D Thompson | Massage Therapist | 215 N Hayne St, Monroe, NC 28112-4856 | 2020-10-15 |
| 1811558505 | Allison R Rykse | Massage Therapist | 1358 Hollywood Dr, Monroe, MI 48162-3024 | 2019-06-24 |
| 1336604792 | Christopher Ehrman | Massage Therapist | 808 N 31st St Ste D, Monroe, LA 71201-3942 | 2019-02-09 |
| 1114482080 | Nicole Cutting Louie | Massage Therapist | 24990 Orchard Tract Rd, Monroe, OR 97456-8413 | 2019-02-05 |
| 1558830448 | Lilith Macgregor Deveigh Krueger | Massage Therapist | 118 N Lewis St Ste 111, Monroe, WA 98272-1516 | 2018-11-20 |
| 1780175885 | Sky Valley Wellness, LLC | Massage Therapist | 14751 N Kelsey St Ste 110, Monroe, WA 98272-1457 | 2018-05-24 |
| 1700397452 | Meagen Michelle Mckelvey | Massage Therapist | 1129 W Main St Ste 172, Monroe, WA 98272-2034 | 2017-10-21 |
| 1033637749 | Margaret Griffin | Massage Therapist | 16405 234th St Se, Monroe, WA 98272-9827 | 2017-09-01 |
| 1437685740 | Holly Cramner | Massage Therapist | 111 E 1st St Ste 500, Monroe, MI 48161-2265 | 2017-05-05 |
| 1558806109 | Michelle Stupay | Massage Therapist | 261 E Fremont St, Monroe, WA 98272-2335 | 2017-01-05 |
| Find all providers in MONROE | ||||
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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.