Nikkea Camren Todd, LMT, MBA

Individual provider Active NPI Massage Therapist · Lexington, MI

NPI 1134589039 · NPPES record last updated Mar 4, 2016

Key facts

NPI
1134589039
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
7501004130 (MI)
Practice address
5590 Main St Ste 7
Lexington, MI 48450-9383
Phone
(858) 271-7000
NPI assigned
Mar 4, 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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
7501004130MIMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501004130 MI Yes

Addresses

Primary practice location

5590 Main St Ste 7
Lexington, MI 48450-9383

Mailing address

6405 Sheridan Line Rd
Croswell, MI 48422-8341
Phone (858) 271-7000

Other providers in Lexington, MI

All providers in Lexington, MI · Massage Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.