Healthcare Provider Details

I. General information

NPI: 1871413146
Provider Name (Legal Business Name): MARY ANN CASWELL LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485 WHITEHALL RD
N MUSKEGON MI
49445-3274
US

IV. Provider business mailing address

3255 PILLON RD
MUSKEGON MI
49445-8560
US

V. Phone/Fax

Practice location:
  • Phone: 231-744-8277
  • Fax:
Mailing address:
  • Phone: 231-750-9997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7501003306
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number7501003306
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: