Organization

Verdurous Me, Llc

Massage Therapist in Wixom, MI(View on Map)

Legal Business Name

Verdurous Me, Llc

NPI Number

1124548185

NPI Type

Organization

Enumeration Date

06/21/2017

Specialties

(Taxonomies)

Code

225700000X
2255A2300X
174H00000X
175L00000X

Primary Taxonomy

Yes
No
No
No

Licenses

State

Michigan
Michigan
Michigan

License Number

7501010100
18966MIPFT
68663511

Contact
Information

Purpose

Mailing
Location

Address

25645 INGLESIDE DR
49881 GRAND RIVER AVE

City

Southfield
Wixom

State

MI
MI

Postal Code

48033-4844
48393-3309

Country

US
US

Telephone Number

N/A
(248) 229-4016

Authorized Official

Name

Leesa Hanksnecht

Title or Position

OWNER

Telephone Number

(248) 420-7439

Identifiers

Identifier

106H00000X
174H00000X
133NN1002X
175L00000X
2255A2300X

Identifier State

MI
MI
MI
MI
MI

Identifier Issuer

MARRIAGE & FAMILY SPECIALIST
HEALTH EDUCATOR
NUTRITION SPECIALIST
HOMEOPATH
SPECIALIST ATHLETIC TRAINER

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/22/2017

Provider Address

Other Massage Therapist in Wixom, Michigan:

Organization

Verdurous Me, Llc

Wixom, MI

Specialty: Massage Therapist (Primary)