Premier Medical Massage

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

PREMIER MEDICAL MASSAGE

Practice address

21777 Poinciana St
Southfield, MI 48033-5049

Phone

(248) 636-0681

NPI assigned

May 16, 2012

Organization subpart

No

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

Authorized official

Name

Cheryl Lynne Koehler, CMT, NCMTB

Title

Massage Therapist

Phone

(248) 636-0681

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1093074668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250005",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480250005",
            "telephone_number": "248-636-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21777 POINCIANA ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335049",
            "telephone_number": "248-636-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "KOEHLER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "248-636-0681",
        "authorized_official_credential": "CMT, NCMTB"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Family Medicine PLLC
• Premier Health Network, LLC
• Premier Home Pharmacy Inc
• Premier Medical Development
• Premier Medical Equipment, LLC
• Premier One Staffing
• Premier Staffing Group Agency L.L.C
• Premise Health of Michigan Medical PC
• Prestige Behavioral Therapy Development Center LLC
• Prestige Care Services Corporation

• Community Health Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.