Organization Active NPI

Fulcher'S Therapeutic Massage LLC

  • Massage Therapist
  • Lapeer, MI
National Provider Identifier
1013451632
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
FULCHER'S THERAPEUTIC MASSAGE LLC
Practice address
92 W Nepessing St
Suite B
Lapeer, MI 48446-2144
Phone
(810) 664-8852
Fax
(810) 664-8853
NPI assigned
Dec 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark M Fulcher, MT
Title
Owner
Phone
(810) 664-8852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MI Primary

Addresses

Primary practice location

92 W Nepessing St
Suite B
Lapeer, MI 48446-2144

Mailing address

92 W Nepessing St
Suite B
Lapeer, MI 48446-2144
Phone (810) 664-8852

National Provider Directory

National Provider Directory

Locations

92 W Nepessing St
Ste B
Lapeer, MI 48446
Phone (810) 664-8852

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013451632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 W NEPESSING ST",
            "address_2": "SUITE B",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462144",
            "telephone_number": "810-664-8852",
            "fax_number": "810-664-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 W NEPESSING ST",
            "address_2": "SUITE B",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462144",
            "telephone_number": "810-664-8852",
            "fax_number": "810-664-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULCHER'S THERAPEUTIC MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FULCHER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-664-8852",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.