Joann Southern, 2705001197
Joann Southern, 2705001197 is a Massage Therapist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2011.
- Licensed in
- MI
- In the registry since
- 2011
Practice location Address checks out
2893 28th St SEGrand Rapids, MI 49512-1622
Phone: (616) 241-1216
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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 2705001197 (MI) |
|---|
Record details
| NPI number | 1578847612 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | 2705001197 |
| Sole proprietor | No |
| NPI enumerated | October 7, 2011 |
| Last updated in NPPES | October 7, 2011 |
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