Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blue Water Medical Massage PLLC

Organization Massage Therapist · NPI 1790280899

Blue Water Medical Massage PLLC provides Massage Therapist services in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1221 Briarwood Dr
Port Huron, MI 48060-2092
Phone: (810) 488-0787
Fax: (810) 294-5356
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 7501006219 (MI)

Record details

NPI number1790280899
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Cole — Owner · (810) 488-0787
NPI enumeratedMarch 29, 2018
Last updated in NPPESMarch 29, 2018
Mailing address1221 Briarwood Dr, Port Huron, MI 48060-2092

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