MEDICARE: JILLIAN T EICHHORN 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	7501017190	MI

General Provider Information

NPI Number	:	1962343681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILLIAN T EICHHORN LMT

Provider Business Mailing Address
First Line	:	1003 CHEROKEE AVE
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-3384
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	905 W 11 MILE RD
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-3103
Country	:	US
Telephone Number	:	734-224-5471
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 “ JILLIAN T EICHHORN LMT” Practice Location

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