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Dalisa Deann Brown, LMT

Individual provider Active NPI Massage Therapist · Washington Township, MI

NPI 1437844701 · NPPES record last updated Apr 11, 2023

Key facts

NPI
1437844701
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
7501015327 (MI)
Practice address
57424 Megan Dr
Washington Township, MI 48094-3816
Phone
(586) 255-7471
NPI assigned
Apr 11, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
7501015327MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
KBT Pain Management & Recovery Massage Therapist Current
since Apr 16, 2023		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501015327 MI Yes

Addresses

Primary practice location

57424 Megan Dr
Washington Township, MI 48094-3816

Mailing address

22327 Lanse St
Saint Clair Shores, MI 48081-1340
Phone (313) 903-2310

Other providers in Washington Township, MI

All providers in Washington Township, MI · Massage Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.