Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Wayne Park, LMT

Individual provider Mechanotherapist · NPI 1720472301

Mr. Wayne Park, LMT is a Mechanotherapist in Roseville, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

27850 Gratiot Ave
Roseville, MI 48066-4803
Phone: (586) 772-5876
Show map & directions

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

Specialties & licences

Mechanotherapist (primary) Taxonomy 172M00000X · Licence L581371 (MI)

Record details

NPI number1720472301
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedMarch 23, 2015
Last updated in NPPESMarch 23, 2015