Shaan Firoza Boyd

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501011987 Issued in MI

Practice address

8611 Tomer Rd
Clayton, MI 49235-9710

Phone

(313) 659-8469

NPI assigned

Aug 18, 2022

Last updated

Aug 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1417675125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 TOMER RD",
            "city": "CLAYTON",
            "state": "MI",
            "postal_code": "492359710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 TOMER RD",
            "city": "CLAYTON",
            "state": "MI",
            "postal_code": "492359710",
            "telephone_number": "313-659-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "SHAAN",
        "middle_name": "FIROZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501011987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "MassageBook",
            "affiliation": "N",
            "address_1": "8611 Tomer Rd",
            "city": "Clayton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492359710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erika L Behm, LLMSW
• Joseph Cleary
• Roger Louis Gennari, PHD CLINICAL PSYCHOL
• Dawn Marie Nightingale, R.N. B.S.N
• Lacey Susan Thomas
• Stephanie May Younglove, L.L.P

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.