Individual provider · Type 1 NPI

Saundra K. Avery, LPN, LMT

Massage Therapist · Canton, MI

NPI number 1083171151 Active

Practice location

8399 Holly Dr
Canton, MI 48187-4237

Call (734) 218-0505 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X4703113427 (MI)
Massage Therapist Primary 225700000X7501000228 (MI)

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.

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About NPI 1083171151

Saundra K. Avery, LPN, LMT's National Provider Identifier is 1083171151, issued on Feb 26, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Canton, MI. The record was last updated on Feb 26, 2019.