Organization
640RX PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY LYNN GREGG-DUCHEMIN LMT (PRACTITIONER)
(231) 747-9163
Entity
Organization
Contact information
Practice address
400 N 3RD AVE, FRUITPORT, MI 49415-9774
(231) 747-9163
Mailing address
400 N 3RD AVE, FRUITPORT, MI 49415-9774
(231) 747-9163
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7501000434
MASSAGE LICENSE
MI
Enumeration date
03/05/2019
Last updated
08/15/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up