Mirage Therapeutic Touch

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MIRAGE THERAPEUTIC TOUCH

Practice address

19603 Moenart St
Detroit, MI 48234-2309

Phone

(248) 346-5948

NPI assigned

Jul 7, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lynnette Marshall-Sims, BCTMB, LMT

Title

Massage Therapist

Phone

(248) 346-5948

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1336591999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19603 MOENART ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482342309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19603 MOENART ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482342309",
            "telephone_number": "248-346-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAGE THERAPEUTIC TOUCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "MARSHALL-SIMS",
        "authorized_official_first_name": "LYNNETTE",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "248-346-5948",
        "authorized_official_credential": "BCTMB, LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantal Minter
• Debra Marie Minton, BS,LBSW
• Joseph Mirabitur III, ACNP-BC
• Miracle Care LLC
• Shokrollah Mirafzali, M.D.
• Amalia S Miralrio, LCSW
• Nicholas Miramonti
• Cori T Miree
• Mirroring Your Care
• Bakhtiar Mirza, M.D.

• Massage Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.