Healthcare Provider Details

I. General information

NPI: 1407791098
Provider Name (Legal Business Name): EMILY G HUBER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6049 RENAISSANCE PL
TOLEDO OH
43623-4730
US

IV. Provider business mailing address

14320 OSTRANDER RD
MAYBEE MI
48159-9749
US

V. Phone/Fax

Practice location:
  • Phone: 419-705-4994
  • Fax:
Mailing address:
  • Phone: 734-755-8211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: