NPI 1003417247

Melissa Whitaker, LMT

Practitioner Massage Therapist Riverview, MI

Practice location

Address: 17439 Fort St, Riverview, MI 48193-6630
Phone: (734) 365-7101
Fax: (734) 574-6006

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 7501007455 (MI)

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Registry record

NPI: 1003417247
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Nov 2020
Record last updated: 4 Nov 2020

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.