Brianna Babiera

Individual provider Active NPI Massage Therapist · Dundee, MI

NPI 1124677596 · NPPES record last updated Sep 9, 2019

Key facts

NPI
1124677596
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
7501009170 (MI)
Practice address
119 Waterstradt Commerce Dr
Dundee, MI 48131
Phone
(734) 529-5138
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
No

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
7501009170MIMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501009170 MI Yes

Addresses

Primary practice location

119 Waterstradt Commerce Dr
Dundee, MI 48131

Mailing address

226 Sidney St
Dundee, MI 48131-1267

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 9, 2019.

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1124677596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 SIDNEY ST",
            "city": "DUNDEE",
            "state": "MI",
            "postal_code": "481311267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WATERSTRADT COMMERCE DR",
            "city": "DUNDEE",
            "state": "MI",
            "postal_code": "48131",
            "telephone_number": "734-529-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABIERA",
        "first_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501009170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundee, MI

All providers in Dundee, MI · Massage Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.