Individual provider · Type 1 NPI
Miranda Ezop, LMT
Massage Therapist · St. Charles, MI
NPI number
1538040498
Active
Practice location
115 S Saginaw St Ste 4
St. Charles, MI 48655-1452
Mailing address
5846 Midland Rd # F
Freeland, MI 48623-8707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 7501015073 (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.
Another provider at this address
About NPI 1538040498
Miranda Ezop, LMT's National Provider Identifier is 1538040498, issued on Sep 9, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Charles, MI. The record was last updated on Sep 9, 2025.