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NPI Code Detail

MEDICARE: MICHAELA DANIELLE SAVONA LMT

MEDICARE: MICHAELA DANIELLE SAVONA LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist33.023163

General Provider Information

NPI Number : 1174135776
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAELA DANIELLE SAVONA LMT
Provider Business Mailing Address
First Line : 200 VINEYARD DR APT 101
Second Line :
City : BROADVIEW HEIGHTS
State : OH
Zip : 44147-3348
Country : US
Telephone Number : 419-632-5163
Fax Number :
Provider Business Practice Location Address
First Line : 5111 DARROW RD
Second Line :
City : HUDSON
State : OH
Zip : 44236-4003
Country : US
Telephone Number : 330-656-1977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2020
Last Update Date : 08/17/2020

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