Individual provider · Type 1 NPI
Mateen Threlkeld, MASSAGE THERAPIST
Massage Therapist · Waterford, MI
NPI number
1083191399
Active
Practice location
1265 W Huron St Ste 101
Waterford, MI 48328-3677
Mailing address
1027 Canterbury Dr
Pontiac, MI 48341-2337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None listed |
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.
3 other providers at this address
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About NPI 1083191399
Mateen Threlkeld, MASSAGE THERAPIST's National Provider Identifier is 1083191399, issued on Jul 19, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Waterford, MI. The record was last updated on Jul 19, 2018.