ANDRE LATELY


Address: 27003 Plymouth Rd, Redford, MI 48239-2343
Phone: 3137447055

ANDRE LATELY (NPI# 1689941783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689941783
Entity Type Individual
Full Name ANDRE LATELY
Practice Address 27003 Plymouth Rd
Redford
MI 48239-2343
Mailing Address Po Box 4388
Detroit
MI 48204-0388
Practice Telephone 3137447055
Mailing Telephone 3135165536
Enumeration Date 2011-11-18
Last Update Date 2011-11-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 27003 PLYMOUTH RD
City REDFORD
State MI
Zip Code 48239-2343

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851678668 Leka Cassinia Smith Reflexologist 27003 Plymouth Rd, Redford, MI 48239-2343 2011-11-08
1326315433 Massage Tea Lc Massage Therapist 27003 Plymouth Rd, Redford, MI 48239-2343 2011-11-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942849856 Court'nee Ann Desmond Nurse Practitioner 14761 Telegraph Rd, Redford, MI 48239 2019-12-26
1891250239 Sun Valley Pharmacy LLC Pharmacy 9291 Telegraph Rd, Redford, MI 48239 2019-02-08
1003343369 Lucinda Pryor Nurse Practitioner 14210 Marion, Redford, MI 48239 2017-05-17
1740725274 Georgetta W Bond Technician, Other 12770 Hemingway, Redford, MI 48239 2016-12-19
1508318015 Doris Mckinney Counselor Lincoln Behavioral Services - 9315 Telegraph, Redford, MI 48239 2016-10-31
1609282110 Rosaundra Tanika Pope Home Health 9989 Royal Grand, Redford, MI 48239 2014-07-03
1497170179 Courtney Ritchie General Practice 24435 Plymouth Rd, Redford, MI 48239 2014-03-04
1003168592 Alicia Monique Lurry Counselor 8171 Parkland, Detroit, MI 48239 2012-10-08
1407116080 Ariss Tiffani Pierce Physical Therapist 14615 Telegraph Rd Ste 1, Redford, MI 48239 2012-05-17
1205144409 Steven Thomas Haynes Counselor 7411 Parkland, Redford, MI 48239 2010-09-22
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285280933 Cheryl Denise Chapman Massage Therapist 17649 Beech Daly Rd, Redford, MI 48240-2202 2019-08-16
1831750710 Marisa Durocher Massage Therapist 12727 Mercedes, Redford, MI 48239-3004 2019-06-22
1821558479 Kelli Colleen Oliver Massage Therapist 27037 W Chicago, Redford, MI 48239-2331 2019-03-20
1871094458 Kimberly Leona Green-taylor Massage Therapist 18209 Brady, Redford, MI 48240-1702 2018-02-28
1871970699 Shawn Franklin Massage Therapist 19991 Garfield, Redford, MI 48240-1018 2015-04-30
1023226735 Dianne E Kean Massage Therapist 15513 Lexington, Redford, MI 48239-3912 2007-05-18
1326315433 Massage Tea Lc Massage Therapist 27003 Plymouth Rd, Redford, MI 48239-2343 2011-11-18

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City REDFORD
Zip Code 48239

Improve Information

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Dataset Information

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.

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