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NPI Code Detail

MEDICARE: EMILY ROBERTS LMT

MEDICARE: EMILY ROBERTS 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 Therapist7501016953MI

General Provider Information

NPI Number : 1265329411
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ROBERTS LMT
Provider Business Mailing Address
First Line : 1280 KINNEY RD
Second Line :
City : RILEY
State : MI
Zip : 48041-3304
Country : US
Telephone Number : 317-489-1658
Fax Number :
Provider Business Practice Location Address
First Line : 20217 HALL RD
Second Line :
City : MACOMB
State : MI
Zip : 48044-4205
Country : US
Telephone Number : 586-488-4938
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2025
Last Update Date : 06/20/2025

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Directions to “ EMILY ROBERTS LMT” Practice Location

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