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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | MT22408522 (IN) |
| Massage Therapist Primary | 225700000X | 7501015684 (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.
Other massage therapist providers in Buchanan
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.