KATIE ANN TENNISWOOD LMT NPI 1902591753

NPI Information

NPI: 1902591753
Provider Name: KATIE ANN TENNISWOOD, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2291 WATER ST STE 5
PORT HURON, MI
ZIP 48060
Phone: (810) 300-2948
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Katie Ann Tenniswood, LMT is a massage therapist in Port Huron, 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. Katie Ann Tenniswood, LMT NPI is 1902591753. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2291 WATER ST STE 5
PORT HURON, MI
ZIP 48060-484
Phone: (810) 300-2948

The enumeration date for this NPI number is 4/7/2023 and was last updated on 4/7/2023.

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		7501014511	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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