Healthcare Provider Details

I. General information

NPI: 1427503226
Provider Name (Legal Business Name): JAMIE SWEET LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2016
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 N LEROY ST
FENTON MI
48430-2760
US

IV. Provider business mailing address

1220 N LEROY ST
FENTON MI
48430-2760
US

V. Phone/Fax

Practice location:
  • Phone: 810-522-4540
  • Fax: 844-558-9767
Mailing address:
  • Phone: 810-522-4540
  • Fax: 844-558-9767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number7501004632
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number7501004632
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: