Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WAYNE PARK, LMT
Active Sole ProprietorMR. WAYNE PARK, LMT is a Mechanotherapist healthcare provider located in ROSEVILLE, Michigan. NPI 1720472301 is currently active in the NPPES registry. Verify at CMS.
Mechanotherapist · ROSEVILLE, MI
Registration Details
- NPI Number
- 1720472301
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2015 (11.405171304045 yrs)
- Last Updated
- Mar 23, 2015
- License
-
L581371 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
27850 GRATIOT AVEROSEVILLE, MI, 480664803Browse MI providers · Browse ZIP 48066
- Phone
- 5867725876
- Primary Specialty
-
Mechanotherapist
172M00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.