Active NPI
Rebecca Mandrell
- Massage Therapist
- Richland, MI
National Provider Identifier
1558718148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M036077
- Practice address
- 8530 M 89
Richland, MI 49083-8205 - Phone
- (269) 743-9984
- NPI assigned
- May 24, 2016
- Last updated
- May 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | M036077 | MI | Primary |
Addresses
Primary practice location
8530 M 89
Richland, MI 49083-8205
Mailing address
9675 E D Ave
Apt 1
Richland, MI 49083-9348
Phone (269) 629-9214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M036077 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1558718148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9675 E D AVE",
"address_2": "APT 1",
"city": "RICHLAND",
"state": "MI",
"postal_code": "490839348",
"telephone_number": "269-629-9214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8530 M 89",
"city": "RICHLAND",
"state": "MI",
"postal_code": "490838205",
"telephone_number": "269-743-9984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDRELL",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-24",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "M036077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.