Edison Konan
Edison Konan is a Health & Wellness Coach in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2022.
- Licensed in
- MI
- In the registry since
- 2022
- Specialties on file
- 5
Practice location Address checks out
15450 HeatherwoodSouthgate, MI 48195-8523
Phone: (734) 720-2097
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 7501016017 (MI) |
|---|---|
| Health & Wellness Coach | Taxonomy 171400000X |
| Behavior Technician | Taxonomy 106S00000X |
| Driver | Taxonomy 172A00000X |
| Adult Companion | Taxonomy 372600000X |
Record details
| NPI number | 1598476061 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 6, 2022 |
| Last updated in NPPES | January 8, 2024 |
| Certification date | January 8, 2024 |
| Mailing address | 15450 Heatherwood, Southgate, MI 48195-8523 |