Miranda Ezop, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501015073 Issued in MI

Practice address

115 S Saginaw St Ste 4
Saint Charles, MI 48655-1452

Phone

(989) 865-6100

NPI assigned

Sep 9, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Arnold Family Chiropractic PLLC

  • Chiropractor
  • Saint Charles, MI
  • NPI 1477747665
  NPD

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1538040498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5846 MIDLAND RD # F",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238707",
            "telephone_number": "989-573-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S SAGINAW ST STE 4",
            "city": "SAINT CHARLES",
            "state": "MI",
            "postal_code": "486551452",
            "telephone_number": "989-865-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZOP",
        "first_name": "MIRANDA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501015073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiran Campbell, RDN
• David E. Duryea, O.D., P.C.
• DCS Management
• Tricia Douglas, ATS
• Leesa Durussel
• Allyssa Faulknor
• Jessica Fields, RN
• Megan Frye
• Angela Girard, LMSW
• Ronald Gonzales Jr., M.D.

• Massage Therapist in Saint Charles, MI
• Providers in Saint Charles, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.