Justin Bosten, BCSI, LMT
Individual provider Active NPI Massage Therapist · Ishpeming, MI
NPI 1689457764 · NPPES record last updated Aug 14, 2023
Key facts
- NPI
- 1689457764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 7501014794 (MI)
- Practice address
- 1000 Country LN Ste 400
Ishpeming, MI 49849-3410 - Phone
- (906) 486-2000
- NPI assigned
- Aug 14, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 7501014794 | MI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J P Lasich Chiropractic, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7501014794 | MI | Yes |
Addresses
Primary practice location
1000 Country LN Ste 400
Ishpeming, MI 49849-3410
Mailing address
7275 County Road 550
Marquette, MI 49855-9766
Phone (906) 362-3878
Other providers in Ishpeming, MI
- Bell Physician Practices Inc
- Kathryn S Bender
- Rebecca Ann Bergwall
- Richard A Bohjanen
- George Bonefeld
- Todd K Bostwick
- Danielle Brandenburg
- Brian E. Anderson, D.D.S., PLLC
- Jay Daniel Busser
- C.B. Rao, M.D., P.C.
All providers in Ishpeming, 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 Aug 14, 2023. 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.