MEDICARE: AMANDA RENEE VANHOOSE

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	7501011794	MI

General Provider Information

NPI Number	:	1851769970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA RENEE VANHOOSE

Provider Business Mailing Address
First Line	:	2755 N JOHNSON RD
Second Line	:
City	:	WEIDMAN
State	:	MI
Zip	:	48893-9776
Country	:	US
Telephone Number	:	989-944-4838
Fax Number	:

Provider Business Practice Location Address
First Line	:	1112 E BROOMFIELD ST
Second Line	:
City	:	MOUNT PLEASANT
State	:	MI
Zip	:	48858-4437
Country	:	US
Telephone Number	:	989-779-2225
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2015
Last Update Date	:	02/19/2026

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