Active NPI
Mary Lee Boyd, LMT
- Massage Therapist
- Keego Harbor, MI
National Provider Identifier
1114300696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 728812
- Practice address
- 3186 Summers Rd
Keego Harbor, MI 48320-1372 - Phone
- (248) 383-3271
- NPI assigned
- Jul 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 728812 | MI | Primary |
Addresses
Primary practice location
3186 Summers Rd
Keego Harbor, MI 48320-1372
Mailing address
2207 Pontiac Dr
Sylvan Lake, MI 48320-1767
Phone (248) 514-2684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 728812 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435795200000",
"number": "1114300696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2207 PONTIAC DR",
"city": "SYLVAN LAKE",
"state": "MI",
"postal_code": "483201767",
"telephone_number": "248-514-2684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3186 SUMMERS RD",
"city": "KEEGO HARBOR",
"state": "MI",
"postal_code": "483201372",
"telephone_number": "248-383-3271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "MARY LEE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-02",
"last_updated": "2015-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "728812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keego Harbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.