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Contact Information

MIRACLE SALON & SPA DBA NATURAL WELLNESS
6632 SUMMERFIELD RD
TEMPERANCE, MI48182-1339
 Phone: 734-850-9355
 Fax: 734-850-9356
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for MIRACLE SALON & SPA DBA NATURAL WELLNESS

NPI Number 1376755918
LBN Legal business name MIRACLE SALON & SPA DBA NATURAL WELLNESS
Authorized official MICHAEL HOLLERBACH - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
OH License # 10293
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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