Suzann Marie Mullennix, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501000614 Issued in MI

Practice address

12 W Wood St
Newaygo, MI 49337-7023

Phone

(231) 519-3494

NPI assigned

Oct 2, 2023

Last updated

Oct 2, 2023By the provider in NPPES

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

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1902686603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 QUARTERLINE ST",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493379124",
            "telephone_number": "616-826-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W WOOD ST",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493377023",
            "telephone_number": "231-519-3494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 Baldwin St",
            "address_purpose": "LOCATION",
            "city": "Jenison",
            "state": "MI",
            "postal_code": "494287987",
            "country_code": "US",
            "telephone_number": "616-826-5114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLENNIX",
        "first_name": "SUZANN",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501000614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Daniel Ryan Miller, PA-C
• Nathan G Morse, PTA
• Evangelina Navarro, M.A., LPC
• Nelson & Nelson, DDS PLC (Newaygo Family Dental Care)
• Dennis Nelson
• Ross Robert Nelson, D.D.S.
• New Horizons Health Services PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.