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

Evan Coonrod

Individual provider Massage Therapist · NPI 1750982211

Evan Coonrod is a Massage Therapist in Ballwin, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
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Practice location Address checks out

239 Steamboat Ln
Ballwin, MO 63011-3203
Phone: (314) 570-9717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 2018012292 (MO)

Record details

NPI number1750982211
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 2, 2020
Last updated in NPPESNovember 2, 2020
Certification dateSeptember 16, 2020
Mailing address239 Steamboat Ln, Ballwin, MO 63011-3203

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