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

Tony Burnside Jr., LMT

Individual provider Massage Therapist · NPI 1912704339

Tony Burnside Jr., LMT is a Massage Therapist in Buchanan, Michigan. Practices as a sole proprietor. Licensed in Indiana and Michigan.

Licensed in
IN, MI
In the registry since
2025
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

324 E Dewey St Ste 104
Buchanan, MI 49107-1494
Phone: (269) 231-0384
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 7501015684 (MI)
Massage Therapist Taxonomy 225700000X · Licence MT22408522 (IN)

Record details

NPI number1912704339
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedFebruary 25, 2025
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025

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