Tony Burnside JR., LMT

NPI #1912704339 in Buchanan, Michigan

Provider Information

NPI Number: 1912704339
Entity Type: Individual
Name: Tony Burnside JR., LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 25, 2025
Last Updated: Feb 25, 2025

Practice Location

Address: 324 E DEWEY ST STE 104
City: Buchanan
State: Michigan
ZIP Code: 49107-1494
Phone: (269) 231-0384

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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