NPI 1144767690

Massage Matters Michigan LLC

Organisation Preferred Provider Organization Detroit, MI

Practice location

Address: 17707 Fenkell St, Detroit, MI 48227-1513
Phone: (313) 293-1054
Fax: (313) 309-9686
Mailing address: 13960 Mettetal St, Detroit, MI 48227-1747

Authorised official

Name: Sheritta Marie Buford
Title: Owner
Phone: (313) 293-1054

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 7501009330 (MI)

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Registry record

NPI: 1144767690
Entity type: Organization
NPI issued: 23 Jan 2017
Record last updated: 23 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.