Nathaniel Farnsworth Barrino, MT
Individual provider Active NPI Massage Therapist · Oak Park, MI
NPI 1124629043 · NPPES record last updated Nov 6, 2020
Key facts
- NPI
- 1124629043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 7501010302 (MI)
- Practice address
- 21940 Coolidge Hwy
Oak Park, MI 48237-2811 - Phone
- (248) 636-6386
- NPI assigned
- Nov 6, 2020
- Sex
- Male
- 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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7501010302 | MI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7501010302 | MI | Yes |
Addresses
Primary practice location
21940 Coolidge Hwy
Oak Park, MI 48237-2811
Mailing address
21940 Coolidge Hwy
Oak Park, MI 48237-2811
Phone (248) 636-6386
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- Jasmine Battle
- Blake Bazzi
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All providers in Oak Park, MI · Massage Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.