Healthcare Provider Details

I. General information

NPI: 1104755131
Provider Name (Legal Business Name): ZOEY MICHALAK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1324 S PARK ST
KALAMAZOO MI
49001-2735
US

IV. Provider business mailing address

3470 ORANOCO ST
KALAMAZOO MI
49048-9434
US

V. Phone/Fax

Practice location:
  • Phone: 269-888-2080
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number7501017551
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: