Provider Demographics
NPI:1447394754
Name:COMPLETE CHIROPRACTIC & MASSAGE THERAPY, PLC
Entity type:Organization
Organization Name:COMPLETE CHIROPRACTIC & MASSAGE THERAPY, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-646-0664
Mailing Address - Street 1:4066 PROCEEDS DR
Mailing Address - Street 2:
Mailing Address - City:PINCKNEY
Mailing Address - State:MI
Mailing Address - Zip Code:48169-8251
Mailing Address - Country:US
Mailing Address - Phone:734-646-0664
Mailing Address - Fax:
Practice Address - Street 1:4066 PROCEEDS DR
Practice Address - Street 2:
Practice Address - City:PINCKNEY
Practice Address - State:MI
Practice Address - Zip Code:48169-8251
Practice Address - Country:US
Practice Address - Phone:734-646-0664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950H112630OtherBCBS GROUP #
MI950H112630OtherBCBS GROUP #