Barbara Maisano, LMT

Individual provider Active NPI Massage Therapist · Manchester, MI

NPI 1194267096 · NPPES record last updated Nov 8, 2016

Key facts

NPI
1194267096
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
75010000260 (MI)
Practice address
135 E Main St
Suite 208
Manchester, MI 48158-9318
Phone
(734) 478-4566
NPI assigned
Nov 8, 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

State licenses

LicenseStateTypeSpecialty
75010000260MIMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 75010000260 MI Yes

Addresses

Primary practice location

135 E Main St
Suite 208
Manchester, MI 48158-9318

Mailing address

608 Parr St
PO Box 582
Manchester, MI 48158-9554
Phone (734) 478-4566

Other providers in Manchester, MI

All providers in Manchester, MI · Massage Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.