Danielle Brandenburg, LMT

Individual provider Active NPI Massage Therapist · Ishpeming, MI

NPI 1487310801 · NPPES record last updated Nov 10, 2021

Key facts

NPI
1487310801
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
7501005111 (MI)
Practice address
1000 Country LN Ste 400
Ishpeming, MI 49849-3410
Phone
(906) 486-2000
NPI assigned
Nov 10, 2021
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
7501005111MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
J P Lasich Chiropractic, LLC Past
since Nov 16, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501005111 MI Yes

Addresses

Primary practice location

1000 Country LN Ste 400
Ishpeming, MI 49849-3410

Mailing address

704 Carr St
Negaunee, MI 49866-1542

Other providers in Ishpeming, MI

All providers in Ishpeming, MI · Massage Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.