DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TONY BURNSIDE JR., LMT

Active Sole Proprietor

TONY BURNSIDE JR., LMT is a Massage Therapist healthcare provider located in BUCHANAN, Michigan. NPI 1912704339 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · BUCHANAN, MI

Registration Details

NPI Number
1912704339
Provider Type
Individual
Gender
Male
NPI Issued
Feb 25, 2025 (1.4254135265959 yrs)
Last Updated
Feb 25, 2025
Licenses
MT22408522 (IN)
7501015684 (MI)
Sole Proprietor
Yes

Practice Information

Address
324 E DEWEY ST STE 104
BUCHANAN, MI, 491071494
Browse MI providers · Browse ZIP 49107
Phone
2692310384
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Massage Therapist

Other Massage Therapist Providers in BUCHANAN, MI

Name Credential NPI
CORINA SUE BEECHLER LMT 1689108938
KATHY CARLENE HAGLEY MMT 1972073252
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.