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RODERICK'S THERAPEUTIC MASSAGE SERVICE NPI 1023353554


NPI Information

NPI: 1023353554
Provider Name: RODERICK'S THERAPEUTIC MASSAGE SERVICE
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
14840 MAPLERIDGE ST
DETROIT, MI
ZIP 48205
Phone: (313) 424-2522
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RODERICK'S THERAPEUTIC MASSAGE SERVICE is a preferred provider organization in Detroit, MI. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. RODERICK'S THERAPEUTIC MASSAGE SERVICE NPI is 1023353554. The provider is registered as an organization entity type.

The provider's business location address is:

14840 MAPLERIDGE ST
DETROIT, MI
ZIP 48205-023
Phone: (313) 424-2522

The provider's authorized official is Roderick Dwayne Wright .
The authorized official title is Owner and has the following contact phone number (313) 424-2522.

The enumeration date for this NPI number is 12/10/2012 and was last updated on 7/21/2022.


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
1305R00000XPreferred Provider OrganizationMICHIGANYes

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: 4/28/2024

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