MS. MARLENE J PETERSON-DECIO (NPI# 1679695019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679695019 |
| Entity Type | Individual |
| Full Name | MS. MARLENE J PETERSON-DECIO |
| Credential | MMT |
| Practice Address |
1515 Niles Ave Saint Joseph MI 49085-1585 |
| Mailing Address |
Po Box 451 Saint Joseph MI 49085-0451 |
| Practice Telephone | 2699836541 |
| Practice Fax Number | 2695856449 |
| Mailing Telephone | 2699834327 |
| Mailing Fax Number | 2695856449 |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2009-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1515 NILES AVE |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-1585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902929334 | Body Logic Alternative Therapies, Inc. | Massage Therapist | 1515 Niles Ave, Saint Joseph, MI 49085-1585 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609484930 | Leticia Renee Gerling | Massage Therapist | 3801 Oakland Ave Ste 205e, Saint Joseph, MO 64506-3689 | 2020-07-22 |
| 1972077998 | Rebecca Michelle Zemel | Massage Therapist | 815 Main St Ste 17, Saint Joseph, MI 49085-1473 | 2019-01-12 |
| 1679804959 | Jamie Renee Murphy | Massage Therapist | 2036 Washington Ave, Saint Joseph, MI 49085-2656 | 2010-01-26 |
| 1528209640 | Jennie Joy Lewis | Massage Therapist | 426 Elena Ln, Saint Joseph, MN 56374-4407 | 2009-03-19 |
| 1194904235 | Rose Anne Janssen | Massage Therapist | 1511 E Minnesota St, Saint Joseph, MN 56374-8618 | 2007-10-25 |
| 1457802654 | Eva M Borcherding | Massage Therapist | 3665 S Lakeshore Dr, Saint Joseph, MI 49085-8277 | 2016-10-23 |
| 1093263329 | Kelly Johnson | Massage Therapist | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2016-09-15 |
| 1831446129 | Rich Sole | Massage Therapist | 1009 W Saint Maartens Dr, Ste A, Saint Joseph, MO 64506-2963 | 2012-08-06 |
| 1902929334 | Body Logic Alternative Therapies, Inc. | Massage Therapist | 1515 Niles Ave, Saint Joseph, MI 49085-1585 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629043 | Nathaniel Farnsworth Barrino | Massage Therapist | 21940 Coolidge Hwy, Oak Park, MI 48237-2811 | 2020-11-06 |
| 1376144378 | Uper, Inc | Massage Therapist | 3197 E Rocky Trl, Cedarville, MI 49719-9560 | 2020-11-05 |
| 1700487832 | Emalee Ann Behem | Massage Therapist | 7880 Vincent Rd, Croswell, MI 48422-9010 | 2020-11-04 |
| 1588264238 | Courtney Altmaier | Massage Therapist | 1175 S Smith Rd, Cedarville, MI 49719-9564 | 2020-10-30 |
| 1023617990 | Beth Andrea Schipper | Massage Therapist | 2717 104th Ave, Zeeland, MI 49464-6801 | 2020-10-22 |
| 1528667722 | Elissa Marie Stewart | Massage Therapist | 118 Minnehaha St, Roscommon, MI 48653-7118 | 2020-10-20 |
| 1881292977 | Cheyanne English | Massage Therapist | 119 Columbia Ave E Ste 12, Battle Creek, MI 49015-3765 | 2020-10-12 |
| 1063010288 | Heather R Iavelli | Massage Therapist | 220 Dumaire St, White Lake, MI 48383-2697 | 2020-10-09 |
| 1558968578 | Polly Ann Holmes | Massage Therapist | 359 W Nepessing St Ste B, Lapeer, MI 48446-2182 | 2020-10-02 |
| 1891302493 | Irene Dooley | Massage Therapist | 544 E Kirby St, Detroit, MI 48202-4121 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
Please comment or provide details below to improve the information on MS. MARLENE J PETERSON-DECIO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.