Provider Demographics
NPI:1710386248
Name:SKAGGS, MARGARET ANN
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANN
Last Name:SKAGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17504 FORT ST APT 5
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:MI
Mailing Address - Zip Code:48193-6640
Mailing Address - Country:US
Mailing Address - Phone:734-799-6523
Mailing Address - Fax:
Practice Address - Street 1:13626 SIBLEY RD
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:MI
Practice Address - Zip Code:48193-7406
Practice Address - Country:US
Practice Address - Phone:734-282-2225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-20
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist