NPI 1215711502

Jennifer Lynne Matyn, LMT

Practitioner Massage Therapist Rochester Hills, MI

Practice location

Address: 290 W Tienken Rd STE B, Rochester Hills, MI 48306-4404
Phone: (239) 777-3044
Mailing address: 1965 Oak Pointe Dr, Rochester Hills, MI 48306-2925

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 7501010846 (MI)

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Registry record

NPI: 1215711502
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2023
Record last updated: 21 Aug 2023

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.