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Blue Water Medical Massage PLLC

NPI 1790280899ActiveOrganization· Massage Therapist· Port Huron, MI

Massage Therapist in Port Huron, Michigan, registered in NPPES in March 2018. The authorized official on file is Joshua Allen Cole, Owner.

Overview

NPI1790280899
StatusActive
Entity typeOrganization
NPI issuedMar 29, 2018
Last updated in NPPESMar 29, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Massage Therapist Primary225700000X7501006219MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other massage therapists in Port Huron

All 21 massage therapists in Port Huron · All massage therapists in Michigan