Individual provider · Type 1 NPI

Samuel Wayne Makedonsky, LMT

Massage Therapist · Imlay City, MI

NPI number 1669067195 Active

Practice location

125 E Capac Rd
Imlay City, MI 48444-1111

Call (810) 724-0996 Map

Mailing address

3360 Cranberry Dr
Clyde, MI 48049-4402

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501011914 (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 1669067195

Samuel Wayne Makedonsky, LMT's National Provider Identifier is 1669067195, issued on Mar 6, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Imlay City, MI. The record was last updated on Mar 6, 2021.