Ann Arbor Therapeutic Massage Clinic

Primary specialty

MechanotherapistTaxonomy code 172M00000X

Legal business name

ANN ARBOR THERAPEUTIC MASSAGE CLINIC

Practice address

2900 Golfside Dr
Ste.4
Ann Arbor, MI 48108-1410

Phone

(734) 961-9227

NPI assigned

Feb 4, 2008

Last updated

Nov 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas J. Trudeau, NCTMB

Title

President

Phone

(734) 961-9227

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1841478617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 GOLFSIDE DR",
            "address_2": "STE.4",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081410",
            "telephone_number": "734-961-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 GOLFSIDE DR",
            "address_2": "STE.4",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081410",
            "telephone_number": "734-961-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN ARBOR THERAPEUTIC MASSAGE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "TRUDEAU",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-961-9227",
        "authorized_official_credential": "NCTMB"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mechanotherapist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Mechanotherapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.