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ADVANCED HOLISTIC HEALTH NPI 1881224749


NPI Information

NPI: 1881224749
Provider Name: ADVANCED HOLISTIC HEALTH
Classification: Massage Therapist - 225700000X
Entity Type: Organization

CLIA Number: 23D0369062

Address:
1539 FORD AVE
WYANDOTTE, MI
ZIP 48192
Phone: (734) 309-6908
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ADVANCED HOLISTIC HEALTH is a massage therapist in Wyandotte, 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. ADVANCED HOLISTIC HEALTH NPI is 1881224749. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1539 FORD AVE
WYANDOTTE, MI
ZIP 48192-300
Phone: (734) 309-6908

The provider's authorized official is Nicole Marie Ledbetter .
The authorized official title is Owner and has the following contact phone number (734) 309-6908.

The CLIA number assigned to this NPI record is 23D0369062 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/20/2020 and was last updated on 1/20/2020.


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 TherapistYes
2261Q00000XClinic/CenterNo
3374J00000XDoulaNo

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

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