MEDICARE: MICHELLE LEANNE HINMAN 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
1	225700000X	Massage Therapist	NVMT.13153	NV

General Provider Information

NPI Number	:	1740123322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE LEANNE HINMAN LMT

Provider Business Mailing Address
First Line	:	6057 TWILIGHT COVE CIR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-3000
Country	:	US
Telephone Number	:	702-449-9105
Fax Number	:

Provider Business Practice Location Address
First Line	:	6057 TWILIGHT COVE CIR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-3000
Country	:	US
Telephone Number	:	702-449-9105
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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