Individual provider · Type 1 NPI
Dominic Ernst, LMT BC MMP
Massage Therapist · Warren, MI
NPI number
1295504967
Active
Practice location
11353 Jackson Ave
Warren, MI 48089-3029
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.
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About NPI 1295504967
Dominic Ernst, LMT BC MMP's National Provider Identifier is 1295504967, issued on Dec 22, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Warren, MI. The record was last updated on Dec 22, 2023.