Provider Demographics
NPI:1265000459
Name:TRUSTED TOUCH MASSAGE THERAPY PLLC
Entity Type:Organization
Organization Name:TRUSTED TOUCH MASSAGE THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHANEL
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:424-744-6801
Mailing Address - Street 1:4517 W SAGINAW HWY # 102
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-2704
Mailing Address - Country:US
Mailing Address - Phone:517-220-8034
Mailing Address - Fax:
Practice Address - Street 1:4517 W SAGINAW HWY # 102
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-2704
Practice Address - Country:US
Practice Address - Phone:517-220-8034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty