Maria Horton, MT

Individual provider Active NPI Massage Therapist · Ishpeming, MI

NPI 1922545573 · NPPES record last updated Jan 20, 2017

Key facts

NPI
1922545573
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
7501006482 (MI)
Practice address
17001 County Road CD
Ishpeming, MI 49849-9380
Phone
(906) 869-2760
NPI assigned
Jan 20, 2017
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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
7501006482MIMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501006482 MI Yes

Addresses

Primary practice location

17001 County Road CD
Ishpeming, MI 49849-9380

Mailing address

17001 County Road CD
Ishpeming, MI 49849-9380
Phone (906) 869-2760

Other providers in Ishpeming, MI

All providers in Ishpeming, MI · Massage Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.