Debra Davis, LMT
Individual provider Active NPI Massage Therapist · Davison, MI
NPI 1972089936 · NPPES record last updated Jul 12, 2018
Key facts
- NPI
- 1972089936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 7501000210 (MI)
- Practice address
- 124 S State Rd
Davison, MI 48423-1347 - Phone
- (810) 886-1028
- NPI assigned
- Jul 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7501000210 | MI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altruistic Speech and Language Services,LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7501000210 | MI | Yes |
Addresses
Primary practice location
124 S State Rd
Davison, MI 48423-1347
Mailing address
10230 Sheridan Rd
Millington, MI 48746-9338
Phone (906) 369-5600
Other providers in Davison, MI
- David M Coriasso
- Paul Allen Crotteau
- Jessica Danko
- Catherine Chun Dato
- David J Slezak DDS PC
- Davison Drug Store Inc
- Davison Family Dentistry
- Davison Family Dentistry, P.C.
- Davison Medical Practice PLC
- Davison Pediatrics PC
All providers in Davison, MI · Massage Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.