National Provider Identifier Database

RODERICKS THERAPEUTIC MASSAGE SERVICE
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

RODERICK'S THERAPEUTIC MASSAGE SERVICE
14840 MAPLERIDGE ST
DETROIT, MI48205-3023
Phone: 313-424-2522
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for RODERICK'S THERAPEUTIC MASSAGE SERVICE

NPI Number 1023353554
Legal business name
LBN
RODERICK'S THERAPEUTIC MASSAGE SERVICE
Authorized official RODERICK WRIGHT - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/10/2012
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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