Provider Demographics
NPI:1003627910
Name:MCKEEVER, MAJA LESLIE (LMT)
Entity type:Individual
Prefix:
First Name:MAJA
Middle Name:LESLIE
Last Name:MCKEEVER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6250 SOMMERSET RD
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-5677
Mailing Address - Country:US
Mailing Address - Phone:269-762-3189
Mailing Address - Fax:
Practice Address - Street 1:6250 SOMMERSET RD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-5677
Practice Address - Country:US
Practice Address - Phone:269-762-3189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7501005877225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist