Amanda L Harnden, LICENSED MASSAGE THE
Individual provider Active NPI Massage Therapist · Yale, MI
NPI 1780415901 · NPPES record last updated Aug 9, 2024
Key facts
- NPI
- 1780415901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 7501003065 (MI)
- Practice address
- 4 Spring St
Yale, MI 48097-3442 - Phone
- (586) 588-5891
- NPI assigned
- Aug 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 7501003065 | MI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | 7501003065 | MI | Yes |
Addresses
Primary practice location
4 Spring St
Yale, MI 48097-3442
Mailing address
4 Spring St
Yale, MI 48097-3442
Phone (586) 588-5891
Other providers in Yale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2024. 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.