Jillian Michelle Samul, C.M.T.
Massage Therapist in Kalamazoo, MI. Individual provider (NPI-1).
NPI number1154760486
StatusActive
Last updated in NPPESJun 28, 2013
Details
- NPI
- 1154760486
- Entity type
- Individual (NPI-1)
- Name
- Jillian Michelle Samul
- Credential
- C.M.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2013
- Last updated
- Jun 28, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
1105 S Park StKalamazoo, MI 49001-5636
Phone 269-377-0399
Mailing address
1105 S Park StKalamazoo, MI 49001-5636
Phone 269-377-0399
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 44 Massage Therapist providers in Kalamazoo · All 7,754 providers in Kalamazoo
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