Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mateen Threlkeld, MASSAGETHERAPIST

Individual provider Massage Therapist · NPI 1083191399

Mateen Threlkeld, MASSAGETHERAPIST is a Massage Therapist in Waterford, Michigan. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1265 W Huron St Ste 101
Waterford, MI 48328-3677
Phone: (248) 977-4594
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1083191399
Entity typeIndividual (Type 1)
GenderMale
Credentials MASSAGETHERAPIST
Sole proprietorYes
NPI enumeratedJuly 19, 2018
Last updated in NPPESJuly 19, 2018
Mailing address1027 Canterbury Dr, Pontiac, MI 48341-2337

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