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

Individual provider Massage Therapist · NPI 1669067195

Samuel Wayne Makedonsky, LMT is a Massage Therapist in Imlay City, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

125 E Capac Rd
Imlay City, MI 48444-1111
Phone: (810) 724-0996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 7501011914 (MI)

Record details

NPI number1669067195
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedMarch 6, 2021
Last updated in NPPESMarch 6, 2021
Certification dateMarch 6, 2021
Mailing address3360 Cranberry Dr, Clyde, MI 48049-4402

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