Healthcare Provider Details

I. General information

NPI: 1558254656
Provider Name (Legal Business Name): DANIELLA DONADO LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 E SAGINAW ST
EAST LANSING MI
48823-2740
US

IV. Provider business mailing address

1575 RAMBLEWOOD DR
EAST LANSING MI
48823-6384
US

V. Phone/Fax

Practice location:
  • Phone: 517-337-3080
  • Fax: 517-337-3082
Mailing address:
  • Phone: 517-203-3910
  • Fax: 517-999-3024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number7501016533
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: