Individual provider · Type 1 NPI

Tony Burnside Jr., LMT

Massage Therapist · Buchanan, MI

NPI number 1912704339 Active

Practice location

324 E Dewey St Ste 104
Buchanan, MI 49107-1494

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XMT22408522 (IN)
Massage Therapist Primary 225700000X7501015684 (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 1912704339

Tony Burnside Jr., LMT's National Provider Identifier is 1912704339, issued on Feb 25, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Buchanan, MI. The record was last updated on Feb 25, 2025.