Active NPI
Marina Friend
- Massage Therapist
- Kewadin, MI
National Provider Identifier
1679938849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- L525687
- Practice address
- 2065 Royal VW
Kewadin, MI 49648-8956 - Phone
- (123) 134-2507
- NPI assigned
- Dec 15, 2015
- 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 | L525687 | MI | Primary |
Addresses
Primary practice location
2065 Royal VW
Kewadin, MI 49648-8956
Mailing address
128 Ames St
Elk Rapids, MI 49629-9739
Phone (231) 342-5070
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 |
|---|---|---|---|
| L525687 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450137600000",
"number": "1679938849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 AMES ST",
"city": "ELK RAPIDS",
"state": "MI",
"postal_code": "496299739",
"telephone_number": "231-342-5070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2065 ROYAL VW",
"city": "KEWADIN",
"state": "MI",
"postal_code": "496488956",
"telephone_number": "123-134-2507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEND",
"first_name": "MARINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-15",
"last_updated": "2015-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "L525687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kewadin, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.