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

Mr. Wayne Park, LMT

Individual provider Mechanotherapist · NPI 1720472301

Mr. Wayne Park, LMT is a Mechanotherapist in Roseville, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

27850 Gratiot Ave
Roseville, MI 48066-4803
Phone: (586) 772-5876
Show map & directions

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

Specialties & licences

Mechanotherapist (primary) Taxonomy 172M00000X · Licence L581371 (MI)

Record details

NPI number1720472301
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedMarch 23, 2015
Last updated in NPPESMarch 23, 2015
Mailing address57232 Newport Ln, Washington, MI 48094-3033