Robert Meldrum II, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

1348 Kenilworth PL
Clawson, MI 48017-2907

Phone

(248) 288-7624

NPI assigned

Dec 5, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1508371139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 KENILWORTH PL",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480172907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 KENILWORTH PL",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480172907",
            "telephone_number": "248-288-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELDRUM",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.