Provider Demographics
NPI:1467832998
Name:MASSAGE INFINI LLC
Entity Type:Organization
Organization Name:MASSAGE INFINI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/MASSAGE THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:248-255-9682
Mailing Address - Street 1:262 WOODSIDE CT
Mailing Address - Street 2:#225
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4156
Mailing Address - Country:US
Mailing Address - Phone:248-255-9682
Mailing Address - Fax:
Practice Address - Street 1:262 WOODSIDE CT
Practice Address - Street 2:#225
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4156
Practice Address - Country:US
Practice Address - Phone:248-255-9682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7501007917225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty