Individual provider · Type 1 NPI

Jeremy Daniel Powell

Massage Therapist · Southfield, MI

NPI number 1780308056 Active

Practice location

23105 Providence Dr Apt 316
Southfield, MI 48075-3653

Call (805) 940-7153 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501014893 (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 1780308056

Jeremy Daniel Powell's National Provider Identifier is 1780308056, issued on Sep 30, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Southfield, MI. The record was last updated on Sep 30, 2022.