JEREMY DANIEL POWELL NPI 1780308056

NPI Information

  • NPI: 1780308056
  • Provider Name: JEREMY DANIEL POWELL
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 23105 PROVIDENCE DR APT 316
    SOUTHFIELD, MI
    ZIP 48075
  • Phone: (805) 940-7153

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NPI Details

Jeremy Daniel Powell is a massage therapist in Southfield, 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. Jeremy Daniel Powell NPI is 1780308056. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

23105 PROVIDENCE DR APT 316
SOUTHFIELD, MI
ZIP 48075-653
Phone: (805) 940-7153

The enumeration date for this NPI number is 9/30/2022 and was last updated on 9/30/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist7501014893MICHIGANYes

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: 3/30/2025

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