Michael Andaya
Massage Therapist in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1598435968
StatusActive
Last updated in NPPESSep 17, 2021
Details
- NPI
- 1598435968
- Entity type
- Individual (NPI-1)
- Name
- Michael Andaya
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2021
- Certification date
- Sep 17, 2021
- Last updated
- Sep 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 7501014462 | MI | Yes |
| 183700000X | Pharmacy Technician | 5303000702 | MI |
Practice location
3413 Braeburn CirAnn Arbor, MI 48108-2619
Phone 734-972-0277
Mailing address
3413 Braeburn CirAnn Arbor, MI 48108-2619
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