Rose McCabe
Individual provider Active NPI Massage Therapist · Ortonville, MI
NPI 1629433909 · NPPES record last updated Dec 30, 2015
Key facts
- NPI
- 1629433909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- L2503024 (MI)
- Practice address
- 2245 S Ortonville Rd
Ortonville, MI 48462-8548 - Phone
- (248) 420-5492
- NPI assigned
- Dec 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2503024 | MI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | L2503024 | MI | Yes |
Addresses
Primary practice location
2245 S Ortonville Rd
Ortonville, MI 48462-8548
Mailing address
4585 Groveland Rd
Ortonville, MI 48462-9022
Phone (248) 420-5492
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- Jillian Michelle Malan
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All providers in Ortonville, MI · Massage Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.