Individual provider · Type 1 NPI

Emanuel Borden Iii, LMT

Massage Therapist · Detroit, MI

NPI number 1104392653 Active

Practice location

12020 Lakepointe St
Detroit, MI 48224-4110

Call (313) 617-4208 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501007293 (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 1104392653

Emanuel Borden Iii, LMT's National Provider Identifier is 1104392653, issued on Oct 22, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Detroit, MI. The record was last updated on Oct 22, 2018.