Deanna Martin, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501004262 Issued in MI

Practice address

1441 Wexford Dr
Davison, MI 48423-8341

Phone

(810) 955-7342

NPI assigned

Nov 15, 2017

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

Other names 1

• Deanna Devaney 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": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1669985453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 WEXFORD DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484238341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 WEXFORD DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484238341",
            "telephone_number": "810-955-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DEANNA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501004262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "DEVANEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Ellis Smith
• Debra M Marsh, CRNA
• Amanda June Marshall, DPM
• Teresa Marshall
• Corrie Ann Martin, RN
• Heather Martin, RN
• Marie Lynn Mata
• Kathleen Lucille Mataway, RN, BSN, IBCLC
• Eric Mather, D.C.
• Casey Maul, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.