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

Mr. Ellis D Ewing Jr., LMT

Individual provider Massage Therapist · NPI 1609649086

Mr. Ellis D Ewing Jr., LMT is a Massage Therapist in Adrian, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

1304 W Maumee St Apt 2
Adrian, MI 49221-1836
Phone: (517) 759-2704
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 7501014073 (MI)

Record details

NPI number1609649086
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedNovember 6, 2023
Last updated in NPPESNovember 6, 2023
Certification dateOctober 23, 2023

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