Maria L Cejmer, LMT, BCTMB

Individual provider Active NPI Massage Therapist · Washington, MI

NPI 1144729633 · NPPES record last updated Feb 9, 2018

Key facts

NPI
1144729633
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
7501000327 (MI)
Practice address
58540 Van Dyke Rd
Washington, MI 48094-3592
Phone
(586) 914-4201
NPI assigned
Feb 9, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
7501000327MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Serenity Massage LLC Single Specialty Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225700000X 7501000327 MI Yes

Addresses

Primary practice location

58540 Van Dyke Rd
Washington, MI 48094-3592

Mailing address

6101 Church Rd
Ira, MI 48023-1213

Other providers in Washington, MI

All providers in Washington, MI · Massage Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.