Julie Nobach, LMT

Individual provider Active NPI Massage Therapist · Vestaburg, MI

NPI 1043662901 · NPPES record last updated Mar 20, 2017

Key facts

NPI
1043662901
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
L581971 (MI)
Practice address
7400 E Howard City Edmore Rd
Vestaburg, MI 48891-9570
Phone
(989) 560-1164
NPI assigned
Jul 4, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7501007100MIMDMassage Therapist
L581971MIMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X L581971 MI Yes
Massage Therapist 225700000X 7501007100 MI

Addresses

Primary practice location

7400 E Howard City Edmore Rd
Vestaburg, MI 48891-9570

Mailing address

7400 E Howard City Edmore Rd
Vestaburg, MI 48891-9570
Phone (989) 560-1164

Other providers in Vestaburg, MI

All providers in Vestaburg, MI · Massage Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.