Mallory Lynne Sly, BCMT, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

L573048 Issued in MI

Practice address

92 W Nepessing St
Lapeer, MI 48446-2144

Phone

(810) 664-8852

Fax

(810) 664-8853

NPI assigned

Dec 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Schafers Chiropractic Center PC

  • Chiropractor
  • Lapeer, MI
  • NPI 1033219381
  NPD (past)

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1679971345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 W NEPESSING ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 W NEPESSING ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462144",
            "telephone_number": "810-664-8852",
            "fax_number": "810-664-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLY",
        "first_name": "MALLORY",
        "middle_name": "LYNNE",
        "credential": "BCMT, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "L573048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shynna Sisson
• Thandapani Sivakumar
• Roger A Skindell, DO
• Robert Harold Skouson, DC
• Sleep Medicine and Neurology Associates
• Albert Smith Jr., DO
• Andrea Smith
• Ashley Smith, RN
• Bianca Smith
• Devon Elizabeth Smith, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.