MASSAGE MATTERS MICHIGAN LLC (NPI# 1710336995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710336995 |
| Entity Type | Organization |
| Organization Name | MASSAGE MATTERS MICHIGAN LLC |
| Practice Address |
21331 Kelly Rd Eastpointe MI 48021-3265 |
| Mailing Address |
13960 Mettetal St Detroit MI 48227-1747 |
| Practice Telephone | 3132939427 |
| Practice Fax Number | 8664663087 |
| Mailing Telephone | 3135862026 |
| Mailing Fax Number | 8664663087 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |
| Authorized Official Name | MS. SHERITTA MARIE BUFORD (LICENSED MASSAGE THERAPIST) |
| Authorized Official Telephone | 3132931054 |
| Authorized Official Credential | L.M.T |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 7501009330 | MI | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144767690 | Massage Matters Michigan LLC | Preferred Provider Organization | 17707 Fenkell St, Detroit, MI 48227-1513 | 2017-01-23 |
| Street Address |
21331 KELLY RD |
| City | EASTPOINTE |
| State | MI |
| Zip Code | 48021-3265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841292158 | Rakesh Lattupalli | Internal Medicine | 21331 Kelly Rd, Ste. 120, Eastpointe, MI 48021-3265 | 2005-06-01 |
| 1144677915 | Sheritta Marie Buford | Specialist | 21331 Kelly Rd, Eastpointe, MI 48021-3265 | 2016-05-20 |
| 1992139562 | Physical Rehab Services LLC | Clinic/Center | 21331 Kelly Rd, Ste 140a, Eastpointe, MI 48021 | 2013-08-30 |
| 1417230889 | Metro Detroit Renal Doctor | Internal Medicine | 21331 Kelly Rd, Suite 120, Eastpointe, MI 48021-3265 | 2011-09-22 |
| 1659698884 | Administrative Specialists, LLC | Family Medicine | 21331 Kelly Rd, Eastpointe, MI 48021-3265 | 2010-04-28 |
| 1912224148 | Primary Care Physicians Iv, P.C. | Family Medicine | 21331 Kelly Rd, Eastpointe, MI 48021-3265 | 2010-04-28 |
| 1174840417 | Richard S Fine Md PC | Internal Medicine | 21331 Kelly Rd, Suite 100, Eastpointe, MI 48021-3265 | 2010-04-27 |
| 1891955597 | Kenneth Dziuba Md PC | Internal Medicine | 21331 Kelly Rd, Eastpointe, MI 48021-3265 | 2008-06-16 |
| 1205093275 | Primary Care Physicians II, P.C. | Specialist | 21331 Kelly Rd, Eastpointe, MI 48021-3265 | 2008-05-19 |
| 1376566596 | Richard Sherman Fine | Internal Medicine | 21331 Kelly Rd, Ste 100, Eastpointe, MI 48021 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588137483 | Beautiful Tomorrow Inc | Home Health | 22430 Gratiot Ave., Eastpointe, MI 48021 | 2019-01-03 |
| 1760922553 | Urgent Care Plus, PC | Clinic/Center | 16184 E 10 Mile Rd Ste 102, Eastpointe, MI 48021 | 2017-02-28 |
| 1295187961 | Danielle Wansley | Licensed Practical Nurse | 24934 Rawen Ave, Eastpointe, MI 48021 | 2016-07-06 |
| 1548615966 | Unique Burton | Licensed Practical Nurse | 15025 Charles, Eastpointe, MI 48021 | 2016-05-04 |
| 1376908707 | Dalinda Richardson | Physical Therapist | 18200 E Tenmile Road, 200, Eastpointe, MI 48021 | 2015-12-30 |
| 1780050369 | Russell Marcilis II | Prosthetic/Orthotic Supplier | 18121 E. 8 Mile Ste 100, Eastpointe, MI 48021 | 2015-08-18 |
| 1841603594 | Charlotte Loraine Kroll | Dentist | 24541 Gratiot Ave., Eastpointe, MI 48021 | 2014-06-10 |
| 1114357720 | Zuri Tanay Boyd-mcgarrity | Social Worker | 4160 Woodward, 2nd Floor, Detroit, MI 48021 | 2013-11-18 |
| 1619219888 | Bettye Ruth Edwards | Social Worker | 23721 Kelly # 7, Eas Pointe, MI 48021 | 2013-03-26 |
| 1578807392 | Angela Marie Travis | Specialist | 21062 Kelly Road, Eastpoint, MI 48021 | 2012-11-16 |
| Find all providers in zip 48021 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
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| 1659823102 | Trinity Mihp | Public Health or Welfare | 16821 Mark Twain St, Detroit, MI 48235-4066 | 2016-11-01 |
| 1497105225 | Anemanuheir, LLC. | Public Health or Welfare | 445 King St, Detroit, MI 48202-2130 | 2016-06-13 |
| 1225485329 | Creating Opportunities for Infants Children and Expectant Mothers | Public Health or Welfare | 12150 Schaefer Hwy, Apt 108, Detroit, MI 48227-3491 | 2016-05-18 |
| 1073976239 | Macomb Children's Healthcare Access Program | Public Health or Welfare | 11370 Hupp Ave, Warren, MI 48089-2505 | 2016-04-04 |
| 1447611967 | Loving Mothers | Public Health or Welfare | 52962 Wendover Dr, Shelby Twp, MI 48316-2965 | 2016-03-10 |
| 1104285162 | Royalty Home Care Services LLC | Public Health or Welfare | 25 S Norton St, New Buffalo, MI 49117-1147 | 2016-02-18 |
| Find all providers with the same taxonomy | ||||
| City | EASTPOINTE |
| Zip Code | 48021 |
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| 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.