Doctor Name: | CARRIE PISHEK |
NPI Number: | 1295138873 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 7501003399 |
Business Practice Address: | 1641 S Milford Rd Ste B Highland, MI - 483574889 |
Business Phone Number: | 2487149901 |
Business Fax Number: | |
Mailing Address: | 1075 Dunleavy Dr, HIGHLAND |
State: | MI |
Postal Code: | 483562164 |
Phone Number: | 7346497202 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2014 |
NPI Last Update Date: | 09/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 7501003399 |
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. |