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Deactivated NPI 1265084958 Deactivated / Inactive NPI Female Practitioner

Michaela Slater

Chiropractor • Grand Rapids, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michaela Slater has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 12, 2019
NPI Deactivation Date August 20, 2025
Total Practice Duration ~6 Years of Practice (2019 – 2025)

Professional Overview & Biography Verified Profile Summary

Michaela Slater was a registered Chiropractor practicing in Grand Rapids, MI. Throughout an active medical career spanning 6 years, Michaela Slater provided care at the practice location at 751 KENMOOR AVE SE STE H until profile deactivation on 2025-08-20.

Practice Location & Contact Primary Location

Practice Address

751 Kenmoor Ave Se Ste H

Grand Rapids, MI 495462391

Telephone 6164667145
Associated Practice Facility / Clinic
🏢 Grand Wellness, Llc Facility NPI 1821465956

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.1 Yrs
State Avg: 22.9 Yrs
Regional Practice Density
135 Specialists

Practicing in Grand Rapids, MI (3252 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: 2025-12-18
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MI 2301401663

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Jessica Alexander , LMT

Massage Therapist

NPI 1043860976

Licensed Massage Therapist

NPI 1083470330

Master of Science in Education, Licensed Massage Therapist

Jennifer Campisi , MPT

Physical Therapist

NPI 1164440764

Master of Physical Therapy

NPI 1306678008

Licensed Acupuncturist, DACM

Mandi Zemba , LMT

Massage Therapist

NPI 1558256362

Licensed Massage Therapist

Gretchen Burchi , LMT

Massage Therapist

NPI 1598588386

Licensed Massage Therapist

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location December 18, 2025

Registered at 751 KENMOOR AVE SE STE H, GRAND RAPIDS, MI 495462391 (Tel: 6164667145)

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Updated Business Mailing Address December 18, 2025

Registered at 751 KENMOOR AVE SE, GRAND RAPIDS, MI 495462388 (Tel: 6164664175)

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Provider Name / Credentials Updated December 18, 2025

Recorded as MICHAELA SLATER

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2025

Chiropractor (License #2301401663 in MI)

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Updated Practice Location November 19, 2025

Registered at 2521 N ELMS RD, FLUSHING, MI 484339423 (Tel: 8104875521)

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Updated Business Mailing Address November 19, 2025

Registered at 2521 N ELMS RD, FLUSHING, MI 484339423 (Tel: 8104875521)

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Provider Name / Credentials Updated November 19, 2025

Recorded as MICHAELE SLATER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2025

Behavior Technician

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NPI Profile Deactivated August 20, 2025

Record deactivated on August 20, 2025

NPI Profile Active July 12, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2019

Registered at 2521 N ELMS RD, FLUSHING, MI 484339423 (Tel: 8104875521)

📍
Updated Business Mailing Address July 12, 2019

Registered at 2521 N ELMS RD, FLUSHING, MI 484339423 (Tel: 8104875521)

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Provider Name / Credentials Updated July 12, 2019

Recorded as MICHAELE SLATER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2019

Behavior Technician

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Initial NPI Registration & Enumeration July 12, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265084958
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2019
Last Update: December 18, 2025
Deactivation Date: August 20, 2025
Sole Proprietor: No

Mailing Address

751 Kenmoor Ave Se

Grand Rapids, MI 495462388

Phone: 6164664175

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.