Provider Demographics
NPI:1851637177
Name:PIOTROWSKI, MARSHA ANN (CMT)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:ANN
Last Name:PIOTROWSKI
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 E FRANKLIN ST
Mailing Address - Street 2:APT 2
Mailing Address - City:OTSEGO
Mailing Address - State:MI
Mailing Address - Zip Code:49078-1326
Mailing Address - Country:US
Mailing Address - Phone:269-910-3411
Mailing Address - Fax:
Practice Address - Street 1:418 E FRANKLIN ST
Practice Address - Street 2:APT 2
Practice Address - City:OTSEGO
Practice Address - State:MI
Practice Address - Zip Code:49078-1326
Practice Address - Country:US
Practice Address - Phone:269-910-3411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist