Provider Demographics
NPI:1962234450
Name:MAYERS, ALEXIS (LMT)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:MAYERS
Suffix:
Gender:X
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 S MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-2931
Mailing Address - Country:US
Mailing Address - Phone:517-420-8497
Mailing Address - Fax:
Practice Address - Street 1:2929 COVINGTON CT # LL
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-4941
Practice Address - Country:US
Practice Address - Phone:517-798-6745
Practice Address - Fax:888-795-0018
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No374J00000XNursing Service Related ProvidersDoula