Healthcare Provider Details

I. General information

NPI: 1851210264
Provider Name (Legal Business Name): TISHA E SCHWEIZER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2695 52ND ST SW
WYOMING MI
49519-9630
US

IV. Provider business mailing address

1740 44TH ST SW STE 5
WYOMING MI
49519-6421
US

V. Phone/Fax

Practice location:
  • Phone: 616-200-8727
  • Fax:
Mailing address:
  • Phone: 616-200-8727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number7501015723
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: