Takera's Therapeutic Massage PLLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

TAKERA'S THERAPEUTIC MASSAGE PLLC

Practice address

26150 5 Mile Rd Ste 1D
Redford, MI 48239-3244

Phone

(313) 676-8889

NPI assigned

Mar 8, 2021

Last updated

Mar 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Takera Lawery, LMTNPI 1669078903

Title

Owner

Phone

(131) 367-6888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Takera's Therapeutic Massage Pllc Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Takera A Lawery, LMT

  • Massage Therapist
  • Redford, MI
  • NPI 1669078903
  NPD Authorized official

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1598350993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26150 5 MILE RD STE 1D",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393244",
            "telephone_number": "313-676-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26150 5 MILE RD STE 1D",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393244",
            "telephone_number": "313-676-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKERA'S THERAPEUTIC MASSAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "LAWERY",
        "authorized_official_first_name": "TAKERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "131-367-6888",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669078903",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Takera's Therapeutic Massage Pllc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Public Health or Welfare Agency in Redford, MI
• Providers in Redford, MI by specialty
• Public Health or Welfare Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.