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AMANDA M CONVERSE I LMT
NPI 1205435161
Massage Therapist in Grand Haven, MI

Active since October 21, 2020
525 ELLIOTT AVE, GRAND HAVEN, MI 49417(616) 566-1603 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2020, Oct 21, 2020 (2 updates tracked since 2020).

About Amanda M Converse I Lmt NPPES

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

AMANDA M CONVERSE I LMT (NPI 1205435161) is an individual massage therapist in Grand Haven, Michigan, licensed in Michigan (7501002519) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1205435161
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameAMANDA M CONVERSE ICredential: LMT
Location Address525 ELLIOTT AVEGrand Haven, MI 49417-1038
Mailing Address525 Elliott AveGrand Haven, MI 49417-1038 · (616) 566-1603
Phone(616) 566-1603
Sole ProprietorNo
Enumeration DateOctober 21, 2020
Last NPPES UpdateNovember 5, 20202 updates tracked since enumeration
NPPES CertifiedNovember 5, 2020
✔ NPI 1205435161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in MI · 7501002519
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.
Also ListedMechanotherapistTaxonomy 172M00000X · License 7501002519
525 ELLIOTT AVE, Grand Haven, MI 49417
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Other Identifiers 1

Other7501002519MI · License Number

Other Providers at the Same Location NPPES

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

I-REVIVE PLLC
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
525 ELLIOTT AVE
GRAND HAVEN, MI 49417
Ottawa County (616) 566-1603

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 Amanda Converse's NPI number?

The NPI number for Amanda Converse is 1205435161. It was assigned to this individual provider in the NPPES registry on October 21, 2020.

Where is Amanda Converse located?

Amanda Converse practices at 525 Elliott Ave, Grand Haven, MI 49417. The listed phone number is (616) 566-1603.

What is Amanda Converse'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 Amanda Converse was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.