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Samuel Wayne Makedonsky, LMT
Massage Therapist in Imlay City, Michigan
NPI 1669067195

Samuel Wayne Makedonsky is a Massage Therapist based in Clyde, MI. Samuel Wayne Makedonsky practices in Imlay City, MI and has the professional credentials of LMT. The NPI Number for Samuel Wayne Makedonsky is 1669067195 and holds a License No. 7501011914 (Michigan).

The current practice location address for Samuel Wayne Makedonsky is 125 E Capac Rd, Imlay City, MI and can be reached out via phone at 810-724-0996. You can also correspond with Samuel Wayne Makedonsky through the mailing address at 3360 CRANBERRY DR, CLYDE, MI - 48049-4402 (mailing address contact number: 810-662-6155).

Location: 125 E Capac Rd, Imlay City, MI, 48049-4402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669067195
Provider Name
Samuel Wayne Makedonsky
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
125 E Capac Rd, Imlay City, MI, 48049-4402
Phone Number
810-724-0996
Fax Number
Provider Enumeration Date
03/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 E Capac Rd
City
Imlay City
State
Michigan
Zip
48444-1111
Phone Number
810-724-0996
Fax Number
person
Provider Business Mailing Address Details
Address
3360 Cranberry Dr
City
Clyde
State
Michigan
Zip
48049-4402
Phone Number
810-662-6155
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
7501011914 (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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