OrganizationActive
Premier Medical Massage
NPI 1093074668 · Community Health Worker · Southfield, MI
Provider details
- NPI number
- 1093074668
- Entity type
- Organization
- Primary specialty
- Community Health WorkerOther Service Providers
- Organization subpart
- No
- Authorized official
- Cheryl Koehler, Massage Therapist(248) 636-0681
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21777 Poinciana St
Southfield, MI 48033-5049
Phone: (248) 636-0681
Street-level locationGet directions
Mailing address
Po Box 250005
Franklin, MI 48025-0005
Registry dates
- Enumerated
- 2012-05-16
- Last updated
- 2012-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.