Advanced Holistic Health

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ADVANCED HOLISTIC HEALTH

Practice address

1539 Ford Ave
Wyandotte, MI 48192-2300

Phone

(734) 309-6908

NPI assigned

Jan 20, 2020

Last updated

Jan 20, 2020By 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

Ms. Nicole Marie Ledbetter, MT

Title

Owner

Phone

(734) 309-6908

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1881224749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "48192",
            "telephone_number": "734-309-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922300",
            "telephone_number": "734-309-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HOLISTIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "LEDBETTER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-309-6908",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah Adkins
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• Indrit Agalliu, PHARM.D.
• Mona Ahmad, D.D.S
• Bedir Akbar, DO
• Mohammad Al Maani, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.