EXODUS HAIR & NAIL STUDIO LLC NPI 1114468428

NPI Information

NPI: 1114468428
Provider Name: EXODUS HAIR & NAIL STUDIO LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
21526 HARPER AVE
SAINT CLAIR SHORES, MI
ZIP 48080
Phone: (586) 242-5729
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EXODUS HAIR & NAIL STUDIO LLC is a massage therapist in Saint Clair Shores, 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. EXODUS HAIR & NAIL STUDIO LLC NPI is 1114468428. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21526 HARPER AVE
SAINT CLAIR SHORES, MI
ZIP 48080-210
Phone: (586) 242-5729

The provider's authorized official is Kandy Wagner .
The authorized official title is Owner and has the following contact phone number (586) 242-5729.

The enumeration date for this NPI number is 3/20/2017 and was last updated on 3/20/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		332924-00	MICHIGAN	Yes

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: 5/5/2024

NPI Synchronization or Removal

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