Jered Dion Solace

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501015139 Issued in MI

Practice address

5301 McAuley Dr
Ypsilanti, MI 48197-1051

Phone

(734) 712-5482

NPI assigned

Apr 27, 2024

Last updated

Apr 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jered Dion Ehrlich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1714176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1629824990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 GLENCOE HILLS DR APT 10",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081022",
            "telephone_number": "620-757-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 MCAULEY DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971051",
            "telephone_number": "734-712-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLACE",
        "first_name": "JERED",
        "middle_name": "DION",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501015139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION BOARD OF THERAPEUTIC MASSAGE AND BODYWORK (NCBTMB)",
            "identifier": "597133-10",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERED",
            "last_name": "EHRLICH",
            "middle_name": "DION",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; 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.