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ADVANCED WELLNESS CONNECTION OF MI LLC NPI 1154559607


NPI Information

NPI: 1154559607
Provider Name: ADVANCED WELLNESS CONNECTION OF MI LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
26711 WOODWARD AVE
SUITE LL4
HUNTINGTON WOODS, MI
ZIP 48070
Phone: (248) 542-3390
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ADVANCED WELLNESS CONNECTION OF MI LLC is a massage therapist in Huntington Woods, MI. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. ADVANCED WELLNESS CONNECTION OF MI LLC NPI is 1154559607. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

26711 WOODWARD AVE
SUITE LL4
HUNTINGTON WOODS, MI
ZIP 48070-333
Phone: (248) 542-3390
Fax: (248) 542-7659

The provider's authorized official is Marilyn A Rotko .
The authorized official title is Owner/director and has the following contact phone number (248) 542-3390.

The enumeration date for this NPI number is 6/23/2009 and was last updated on 6/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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