Provider Demographics
NPI:1952766453
Name:LANGSCHIED, HOLLIE EVE (LMT)
Entity Type:Individual
Prefix:
First Name:HOLLIE
Middle Name:EVE
Last Name:LANGSCHIED
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 1:16575 CHESTNUT ST.
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066
Mailing Address - Country:US
Mailing Address - Phone:586-480-4685
Mailing Address - Fax:586-979-5096
Practice Address - Street 1:36150 DEQUINDRE ROAD
Practice Address - Street 2:SUITE #730
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310
Practice Address - Country:US
Practice Address - Phone:586-979-4950
Practice Address - Fax:586-979-5096
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-28
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL549242225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIL549242OtherLICENSE #