Lea Brucher, LMT
Individual provider Active NPI Massage Therapist · Lewiston, MI
NPI 1376364489 · NPPES record last updated Oct 21, 2024
Key facts
- NPI
- 1376364489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 7501016105 (MI)
- Practice address
- 4798 Montmorency St
Lewiston, MI 49756-7881 - Phone
- (989) 915-3915
- NPI assigned
- Oct 21, 2024
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7501016105 | MI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7501016105 | MI | Yes |
Addresses
Primary practice location
4798 Montmorency St
Lewiston, MI 49756-7881
Mailing address
PO Box 212
Lewiston, MI 49756-0212
Phone (989) 915-3915
Other providers in Lewiston, MI
- Ashley Borowiak
- Ana M. Fish
- Keagan Goodhue
- Bridget M Goss
- Carolyne Hanes
- John P. Marconnit D.D.S., P.C.
All providers in Lewiston, MI · Massage Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.