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Kyle Donald Minaudo, LMT
Massage Therapist in Warren, Michigan
NPI 1306414206

Kyle Donald Minaudo is a Massage Therapist based in Warren, MI. Kyle Donald Minaudo practices in Warren, MI and has the professional credentials of LMT. The NPI Number for Kyle Donald Minaudo is 1306414206 and holds a License No. 7501014287 (Michigan).

The current practice location address for Kyle Donald Minaudo is 2243 E 12 Mile Rd, Warren, MI and can be reached out via phone at 586-573-8100 and via fax at 586-573-8101. You can also correspond with Kyle Donald Minaudo through the mailing address at 2243 E 12 MILE RD, WARREN, MI - 48092-5644 (mailing address contact number: 586-573-8100).

Location: 2243 E 12 Mile Rd, Warren, MI, 48092-5644
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306414206
Provider Name
Kyle Donald Minaudo
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
2243 E 12 Mile Rd, Warren, MI, 48092-5644
Phone Number
586-573-8100
Fax Number
586-573-8101
Provider Enumeration Date
06/16/2021
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1497708200 01 TX MEDICARE
institution
Provider Business Practice Location Address Details
Address
2243 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48092-5644
Phone Number
586-573-8100
Fax Number
586-573-8101
person
Provider Business Mailing Address Details
Address
2243 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48092-5644
Phone Number
586-573-8100
Fax Number
586-573-8101
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
7501014287 (Michigan)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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