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JEREMY DANIEL POWELL
NPI 1780308056
Massage Therapist in Southfield, MI

Active since September 30, 2022
23105 PROVIDENCE DR APT 316, SOUTHFIELD, MI 48075(805) 940-7153 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeremy Daniel Powell NPPES

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

JEREMY DANIEL POWELL (NPI 1780308056) is an individual massage therapist in Southfield, Michigan, licensed in Michigan (7501014893) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1780308056
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameJEREMY DANIEL POWELL
Location Address23105 PROVIDENCE DR APT 316Southfield, MI 48075-3653
Mailing Address23105 Providence Dr Apt 316Southfield, MI 48075-3653
Phone(805) 940-7153
Sole ProprietorYes
Enumeration DateSeptember 30, 2022
NPPES CertifiedSeptember 1, 2022
✔ NPI 1780308056 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
License✔ Licensed in MI · 7501014893
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.
23105 PROVIDENCE DR APT 316, Southfield, MI 48075
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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 Jeremy Powell's NPI number?

The NPI number for Jeremy Powell is 1780308056. It was assigned to this individual provider in the NPPES registry on September 30, 2022.

Where is Jeremy Powell located?

Jeremy Powell practices at 23105 Providence Dr Apt 316, Southfield, MI 48075. The listed phone number is (805) 940-7153.

What is Jeremy Powell'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 Jeremy Powell was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.