Samantha Rene' Packard, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501011964 Issued in MI

Practice address

1447 S Otsego Ave
Gaylord, MI 49735-7739

Phone

(989) 732-7000

NPI assigned

Mar 10, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Saks Wellness Center P.C.

  • Chiropractor
  • Gaylord, MI
  • NPI 1386742245
  NPD

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1790584027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 WINTERS RD",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359319",
            "telephone_number": "989-285-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 S OTSEGO AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497357739",
            "telephone_number": "989-732-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "627 Winters Rd",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497359319",
            "country_code": "US",
            "telephone_number": "989-285-0252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "SAMANTHA",
        "middle_name": "RENE'",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501011964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otsego County Commission on Aging
• Otsego Physician Services PC
• Jeremy D Otto, PHARM.D.
• Thomas Overett
• Genevieve L Owens, BEHAVIOR TECHNICIAN
• Jeanne Marie Paque
• Tabitha Carolin Pardo, FNP-C
• Patricia Duley MDPC
• Kathleen Marie Pawlanta, F.N.P.
• Alexis Payne, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.