MEDICARE: DUSTIN PALMER BODYWORK & MASSAGE, 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	7501008282	MI

General Provider Information

NPI Number	:	1851837785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUSTIN PALMER BODYWORK & MASSAGE, LLC.

Provider Business Mailing Address
First Line	:	26711 WOODWARD AVE STE 305
Second Line	:
City	:	HUNTINGTON WOODS
State	:	MI
Zip	:	48070-1369
Country	:	US
Telephone Number	:	248-631-4728
Fax Number	:	248-282-0358

Provider Business Practice Location Address
First Line	:	26711 WOODWARD AVE STE 305
Second Line	:
City	:	HUNTINGTON WOODS
State	:	MI
Zip	:	48070-1369
Country	:	US
Telephone Number	:	248-631-4728
Fax Number	:	248-282-0358

Authorized Official
Title or Position	:	MASSAGE THERAPIST/OWNER
Name	:	MR. DUSTIN PALMER DREESE
Credential	:	LMT
Telephone Number	:	248-632-4728

Provider Enumeration Date	:	01/17/2017
Last Update Date	:	02/09/2026

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