Organization
LIGHTHEART LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICH LIGHTHEART (OWNER)
(248) 804-9720
Entity
Organization
Contact information
Practice address
100 W BIG BEAVER RD STE 200, TROY, MI 48084-5283
(248) 804-9720
Mailing address
511 OLDE TOWNE RD UNIT 82317, ROCHESTER, MI 48308-7782
(248) 804-9720
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
—
—
171100000X
Acupuncturist
—
—
173C00000X
Reflexologist
—
—
2251H1200X
Hand Physical Therapist
—
—
225700000X
Massage Therapist
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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