MEDICARE: VERDUROUS ME, LLC

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
1	225700000X	Massage Therapist	7501008527	MI

General Provider Information

NPI Number	:	1689126468
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERDUROUS ME, LLC

Provider Business Mailing Address
First Line	:	49881 GRAND RIVER AVE
Second Line	:
City	:	WIXOM
State	:	MI
Zip	:	48393-3309
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	49881 GRAND RIVER AVE
Second Line	:
City	:	WIXOM
State	:	MI
Zip	:	48393-3309
Country	:	US
Telephone Number	:	248-229-4016
Fax Number	:

Authorized Official
Title or Position	:	WELLNESS SPECIALIST
Name	:	LEESA HANSKNECHT
Credential	:
Telephone Number	:	248-229-4016

Provider Enumeration Date	:	10/27/2016
Last Update Date	:	10/27/2016

Similar Medicare Providers

1700314747 — DAVIANA BUTLER
Practice Location Address:

49881 GRAND RIVER AVE
WIXOM, MI
48393-3309

Practice Phone: 248-229-4016
Practice Fax:

1124548185 — VERDUROUS ME, LLC
Practice Location Address:

49881 GRAND RIVER AVE
WIXOM, MI
48393-3309

Practice Phone: 248-229-4016
Practice Fax:

1356277842 — MAXLIVING WIXOM PLLC
Practice Location Address:

29680 S WIXOM RD
WIXOM, MI
48393-3430

Practice Phone: 248-892-7246
Practice Fax:

1053237156 — ZACHARY DAMON
Practice Location Address:

51229 CENTURY CT
WIXOM, MI
48393-2074

Practice Phone: 124-852-9100
Practice Fax:

1700710225 — CHARLES DAVID DUNAVAN DPT, PT
Practice Location Address:

29822 S WIXOM RD
WIXOM, MI
48393-3434

Practice Phone: 248-926-5826
Practice Fax: 248-926-5830

1265364277 — KYLIE RAY PT, DPT
Practice Location Address:

29600 S WIXOM RD
WIXOM, MI
48393-3459

Practice Phone: 248-960-1600
Practice Fax:

Directions to “VERDUROUS ME, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.