| Samuel Wayne Makedonsky, LMT | |
|
125 E Capac Rd, Imlay City, MI 48444-1111 | |
| (810) 724-0996 | |
| Not Available |
| Full Name | Samuel Wayne Makedonsky |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 125 E Capac Rd, Imlay City, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669067195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 7501011914 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Wayne Makedonsky, LMT 3360 Cranberry Dr, Clyde, MI 48049-4402 Ph: (810) 662-6155 | Samuel Wayne Makedonsky, LMT 125 E Capac Rd, Imlay City, MI 48444-1111 Ph: (810) 724-0996 |
Mrs. Renee Graboyes, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 E Capac Rd, Imlay City, MI 48444 Phone: 810-724-0996 | |
Mark Fulcher, BS, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 E Capac Rd, Suite B, Imlay City, MI 48444 Phone: 810-724-0996 Fax: 810-724-4343 | |
Anna Ross, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 E Capac Rd, Imlay City, MI 48444 Phone: 810-724-0996 | |
Heather Laidler, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 E Capac Rd, Imlay City, MI 48444 Phone: 810-724-0996 | |
Amie Hazelwood, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 E Capac Rd, Imlay City, MI 48444 Phone: 810-724-0996 | |
Tri City Therapeutic Massage Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 E Capac Rd, Imlay City, MI 48444 Phone: 810-724-0996 Fax: 810-724-4343 |