Saundra K Avery, LPN, LMT in Canton, MI - Massage Therapist

Saundra K Avery, LPN, LMT is a Massage Therapist based in Canton, Michigan. Saundra K Avery is licensed to practice in Michigan (license number 7501000228) and her current practice location is 8399 Holly Dr, Canton, Michigan. She can be reached at her office (for appointments etc.) via phone at (734) 218-0505.

NPI number for Saundra K Avery is 1083171151 and her current mailing address is 8399 Holly Dr, Canton, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083171151.

Contact Information

	Saundra K Avery, LPN, LMT
	8399 Holly Dr, Canton, MI 48187-4237
	(734) 218-0505
	Not Available

Provider's Profile

Full Name	Saundra K Avery
Gender	Female
Speciality	Massage Therapist
Location	8399 Holly Dr, Canton, Michigan
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1083171151
Provider Enumeration Date: 02/26/2019
Last Update Date: 02/26/2019

Medical Identifiers

Medical identifiers for Saundra K Avery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083171151	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	4703113427 (Michigan)	Secondary
225700000X	Massage Therapist	7501000228 (Michigan)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Saundra K Avery is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Saundra K Avery, LPN, LMT 8399 Holly Dr, Canton, MI 48187-4237 Ph: (734) 218-0505	Saundra K Avery, LPN, LMT 8399 Holly Dr, Canton, MI 48187-4237 Ph: (734) 218-0505

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Saundra K Avery, LPN, LMT - Massage Therapist in Canton, MI