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Active NPI 1669988820 Individual Practitioner Female Practitioner

Michelle Bourassa , LMT

Massage Therapist • Davison, MI

Professional Overview & Biography Verified Profile Summary

Michelle Bourassa, LMT is a registered healthcare professional specializing in Massage Therapist in Davison, MI. Practice services are available at 3058 N STATE RD STE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3058 N State Rd Ste E

Davison, MI 484233508

Telephone 8106526315
Fax 8106526213
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Davison, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
21 Specialists

Practicing in Davison, MI (1978 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-02-11
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License MI 7501010287

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Diane Freeman , OTR

Occupational Therapist - Neurorehabilitation

NPI 1003000605

Occupational Therapist Registered

Dustin Oprisiu , CPT

Specialist/Technologist - Athletic Trainer

NPI 1407496300

Certified Phlebotomy Technician

Vilola Smith , RN

Registered Nurse

NPI 1457928798

Registered Nurse

Ryan Mitchell , PTA

Physical Therapy Assistant

NPI 1629660535

Physical Therapist Assistant

Benjamin Fodale , LMT

Massage Therapist

NPI 1811491681

Licensed Massage Therapist

Wendy Schneider , RN

Registered Nurse - General Practice

NPI 1962179291

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2017

Registered at 3058 N STATE RD STE E, DAVISON, MI 484233508 (Tel: 8106526315)

📍
Updated Business Mailing Address December 22, 2017

Registered at 3058 N STATE RD STE E, DAVISON, MI 484233508 (Tel: 8106526315)

👤
Provider Name / Credentials Updated December 22, 2017

Recorded as MICHELLE BOURASSA, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2017

Massage Therapist (License #7501010287 in MI)

🟢
Initial NPI Registration & Enumeration December 22, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1669988820
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2017
Last Update: February 11, 2021
Sole Proprietor: Yes

Mailing Address

3058 N State Rd Ste E

Davison, MI 484233508

Phone: 8106526315

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.