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BLUE WATER MEDICAL MASSAGE PLLC
NPI 1790280899
Massage Therapist in Port Huron, MI

Active since March 29, 2018
1221 BRIARWOOD DR, PORT HURON, MI 48060(810) 488-0787(810) 294-5356 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Water Medical Massage Pllc NPPES

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

BLUE WATER MEDICAL MASSAGE PLLC (NPI 1790280899) is a healthcare organization registered as a massage therapist in Port Huron, Michigan and active in the NPI registry since March 2018. The organization lists Joshua Allen Cole, Owner, as its authorized official.

NPPES Registry Identity

NPI1790280899
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameBLUE WATER MEDICAL MASSAGE PLLC
Location Address1221 BRIARWOOD DRPort Huron, MI 48060-2092
Mailing Address1221 Briarwood DrPort Huron, MI 48060-2092 · (810) 488-0787 · Fax (810) 294-5356
Phone(810) 488-0787
Fax(810) 294-5356
Organization SubpartNo
Authorized OfficialJoshua Allen ColeOwner · (810) 488-0787
Enumeration DateMarch 29, 2018
✔ NPI 1790280899 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 · 7501006219
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.
1221 BRIARWOOD DR, Port Huron, MI 48060
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

COLES COMPREHENSIVE HOME CARE LLC
In Home Supportive Care
1221 BRIARWOOD DR
PORT HURON, MI 48060
St. Clair County (810) 488-0787
ASHLEY PICKERING
Massage Therapist
1221 BRIARWOOD DR
PORT HURON, MI 48060
St. Clair County (810) 488-0787
JOSHUA ALLEN COLE
Massage Therapist
1221 BRIARWOOD DR
PORT HURON, MI 48060
St. Clair County (810) 488-0789
MICHIGAN MYOTHERAPY CLINIC PLLC
Massage Therapist
1221 BRIARWOOD DR
PORT HURON, MI 48060
St. Clair County (810) 488-0787

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 Blue Water Medical Massage PLLC's NPI number?

The NPI number for Blue Water Medical Massage PLLC is 1790280899. It was assigned to this organization in the NPPES registry on March 29, 2018.

Where is Blue Water Medical Massage PLLC located?

Blue Water Medical Massage PLLC is located at 1221 Briarwood Dr, Port Huron, MI 48060. The listed phone number is (810) 488-0787.

What is Blue Water Medical Massage PLLC'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 Blue Water Medical Massage PLLC was last updated on March 29, 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.