Individual provider · Type 1 NPI

Amanda M. Converse I, LMT

Massage Therapist · Grand Haven, MI

NPI number 1205435161 Active

Practice location

525 Elliott Ave
Grand Haven, MI 49417-1038

Specialties and licenses

TaxonomyCodeLicense
Mechanotherapist 172M00000X7501002519
Massage Therapist Primary 225700000X7501002519 (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 1205435161

Amanda M. Converse I, LMT's National Provider Identifier is 1205435161, issued on Oct 21, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Grand Haven, MI. The record was last updated on Nov 5, 2020.