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MY MEDICAL MASSAGE
NPI 1508473000
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Grand Haven, MI

Active since September 28, 2020
525 ELLIOTT AVE, GRAND HAVEN, MI 49417(616) 566-1603(616) 607-8588 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, Sep 28, 2020 (2 updates tracked since 2020).

About My Medical Massage NPPES

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

MY MEDICAL MASSAGE (NPI 1508473000) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Grand Haven, Michigan and active in the NPI registry since September 2020. The organization lists Amanda M Converse, Ceo/founder, as its authorized official.

NPPES Registry Identity

NPI1508473000
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameI-REVIVE PLLC
Location Address525 ELLIOTT AVEGrand Haven, MI 49417-1038
Mailing Address525 Elliott AveGrand Haven, MI 49417-1038 · (616) 377-8893 · Fax (616) 607-8588
Phone(616) 566-1603
Fax(616) 607-8588
Organization SubpartNo
Authorized OfficialAmanda M ConverseCeo/founder · (616) 377-8893
Enumeration DateSeptember 28, 2020
Last NPPES UpdateNovember 5, 20202 updates tracked since enumeration
NPPES CertifiedNovember 5, 2020
✔ NPI 1508473000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Also ListedHome HealthTaxonomy 251E00000X
525 ELLIOTT AVE, Grand Haven, MI 49417
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Other Names 1

Doing Business AsMy Medical Massage

Other Identifiers 1

Other14997664MI · Caqh

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

AMANDA M CONVERSE I LMT
Massage Therapist
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 I-Revive PLLC's NPI number?

The NPI number for I-Revive PLLC is 1508473000. It was assigned to this organization in the NPPES registry on September 28, 2020. The provider is doing business as My Medical Massage.

Where is I-Revive PLLC located?

I-Revive PLLC is located at 525 Elliott Ave, Grand Haven, MI 49417. The listed phone number is (616) 566-1603.

What is I-Revive PLLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

When was this NPI record last updated?

The NPPES record for I-Revive PLLC 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.