Lauren Haelterman, LMT

Individual provider Active NPI Massage Therapist · Walled Lake, MI

NPI 1124487251 · NPPES record last updated Feb 17, 2016

Key facts

NPI
1124487251
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
7501009048 (MI)
Practice address
330 Wellsboro St
Walled Lake, MI 48390-3468
Phone
(248) 941-1076
NPI assigned
Feb 17, 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
7501009048MIMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501009048 MI Yes

Addresses

Primary practice location

330 Wellsboro St
Walled Lake, MI 48390-3468

Mailing address

330 Wellsboro St
Walled Lake, MI 48390-3468
Phone (248) 941-1076

Other providers in Walled Lake, MI

All providers in Walled Lake, MI · Massage Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.