Amy Deshano
Massage Therapist
33655 Pondview Cir
Livonia
, Michigan 48152-1471
Amy Deshano
Massage Therapist
33655 Pondview Cir
Livonia
, Michigan 48152-1471
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Amy Deshano
- 33655 Pondview Cir
- Livonia, MI
- Zip : 48152-1471
- Phone :
Second Address
- Amy Deshano
- 33655 Pondview Cir
- Livonia, MI
- Zip : 48152-1471
- Phone : (734) 525-5400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist |
National Provider Identifier
| NPI | 1003177411 |
|---|---|
| Provider Name | Amy Deshano |
| First Address | Livonia, MI 48152-1471 |
| Second Address | Livonia, MI 48152-1471 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2012 |
| Last Update Date | 01/06/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.