Doctor Name: | MRS. NIKKEA CAMREN TODD |
NPI Number: | 1134589039 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT, MBA |
License Number: | 7501004130 |
Business Practice Address: | 5590 Main St Ste 7 Lexington, MI - 484509383 |
Business Phone Number: | 8582717000 |
Business Fax Number: | |
Mailing Address: | 6405 Sheridan Line Rd, CROSWELL |
State: | MI |
Postal Code: | 484228341 |
Phone Number: | 8582717000 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2016 |
NPI Last Update Date: | 03/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 7501004130 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |