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NPI Code Detail

MEDICARE: MAKENNA RENEE BRETZ LMT

MEDICARE: MAKENNA RENEE BRETZ LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist33.027704OH

General Provider Information

NPI Number : 1295677813
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKENNA RENEE BRETZ LMT
Provider Business Mailing Address
First Line : 39000 MENTOR AVE
Second Line :
City : WILLOUGHBY
State : OH
Zip : 44094-8095
Country : US
Telephone Number : 440-953-3950
Fax Number : 440-953-3953
Provider Business Practice Location Address
First Line : 39000 MENTOR AVE
Second Line :
City : WILLOUGHBY
State : OH
Zip : 44094-8095
Country : US
Telephone Number : 440-953-3950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ MAKENNA RENEE BRETZ LMT” Practice Location

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