KATIE ANN TENNISWOOD LMT
NPI 1902591753
Massage Therapist in Port Huron, MI

Active since April 07, 2023
2291 WATER ST STE 5, PORT HURON, MI 48060(810) 300-2948 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Katie Ann Tenniswood Lmt NPPES

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

KATIE ANN TENNISWOOD LMT (NPI 1902591753) is an individual massage therapist in Port Huron, Michigan, licensed in Michigan (7501014511) and active in the NPI registry since April 2023. She maintains a secondary practice location in Clyde.

NPPES Registry Identity

NPI1902591753
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKATIE ANN TENNISWOODCredential: LMT
Location Address2291 WATER ST STE 5Port Huron, MI 48060-2484
Mailing Address4110 Rabidue RdClyde, MI 48049-2921 · (810) 300-2948
Sole ProprietorYes
Enumeration DateApril 7, 2023
NPPES CertifiedApril 7, 2023
✔ NPI 1902591753 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 · 7501014511
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.
2291 WATER ST STE 5, Port Huron, MI 48060

Secondary Practice Location 1

Location 14110 Rabidue RdClyde, MI 48049-2921 · Phone (810) 300-2948

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 Katie Tenniswood's NPI number?

The NPI number for Katie Tenniswood is 1902591753. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Katie Tenniswood located?

Katie Tenniswood practices at 2291 Water St Ste 5, Port Huron, MI 48060. The listed phone number is (810) 300-2948.

What is Katie Tenniswood'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 Katie Tenniswood was last updated on April 7, 2023. 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.