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MATEEN THRELKELD MASSAGE THERAPIST
NPI 1083191399
Massage Therapist in Waterford, MI

Active since July 19, 2018
1265 W HURON ST STE 101, WATERFORD, MI 48328(248) 977-4594 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mateen Threlkeld Massage Therapist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATEEN THRELKELD MASSAGE THERAPIST (NPI 1083191399) is an individual massage therapist in Waterford, Michigan and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1083191399
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMATEEN THRELKELDCredential: MASSAGE THERAPIST
Location Address1265 W HURON ST STE 101Waterford, MI 48328-3677
Mailing Address1027 Canterbury DrPontiac, MI 48341-2337 · (248) 904-3132
Phone(248) 977-4594
Sole ProprietorYes
Enumeration DateJuly 19, 2018
✔ NPI 1083191399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
1265 W HURON ST STE 101, Waterford, MI 48328
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Other Identifiers 1

OtherPL1743888Liability Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS E WEIBERG
Massage Therapist
1265 W HURON ST STE 101
WATERFORD, MI 48328
Oakland County (248) 977-4594
TINA SHRINER
Physical Therapy Assistant
1265 W HURON ST STE 101
WATERFORD, MI 48328
Oakland County (248) 977-4594
KAYLA MEYERS LMT
Massage Therapist
1265 W HURON ST STE 101
WATERFORD, MI 48328
Oakland County (248) 977-4594

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mateen Threlkeld's NPI number?

The NPI number for Mateen Threlkeld is 1083191399. It was assigned to this individual provider in the NPPES registry on July 19, 2018.

Where is Mateen Threlkeld located?

Mateen Threlkeld practices at 1265 W Huron St Ste 101, Waterford, MI 48328. The listed phone number is (248) 977-4594.

What is Mateen Threlkeld's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Mateen Threlkeld was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.