Ronda Dowd
Individual provider Active NPI Massage Therapist · Lanse, MI
NPI 1386192169 · NPPES record last updated Sep 21, 2016
Key facts
- NPI
- 1386192169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 7501007584 (MI)
- Practice address
- 603 N Main St
Lanse, MI 49946-1125 - Phone
- (906) 395-0158
- NPI assigned
- Sep 21, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7501007584 | MI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7501007584 | MI | Yes |
Addresses
Primary practice location
603 N Main St
Lanse, MI 49946-1125
Mailing address
603 N Main St
Lanse, MI 49946-1125
Other providers in Lanse, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2016. 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.