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Emily Andersen

Individual provider Active NPI Massage Therapist · Spring Lake, MI

NPI 1174337208 · NPPES record last updated Feb 7, 2025

Key facts

NPI
1174337208
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
7501014945 (MI)
Practice address
510 W Savidge St Ste E
Spring Lake, MI 49456-3108
Phone
(231) 557-1838
Fax
(616) 850-0950
NPI assigned
Feb 7, 2025
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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
7501014945MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Young, PLLC Current
since Feb 9, 2025		 Accepting new patients
Jason J Tiel DC PLLC Past
since Feb 9, 2025		 Accepting new patients

Locations

510 W Savidge St
Ste E
Spring Lake, MI 49456
Phone (231) 287-2035

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501014945 MI Yes

Addresses

Primary practice location

510 W Savidge St Ste E
Spring Lake, MI 49456-3108

Mailing address

510 W Savidge St Ste E
Spring Lake, MI 49456-3108
Phone (231) 557-1838

Other providers in Spring Lake, MI

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

Sources for this page

Verify at the official NPI Registry.