Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOANN SOUTHERN, 2705001197
ActiveJOANN SOUTHERN, 2705001197 is a Massage Therapist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1578847612 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1578847612
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 7, 2011 (14.812587844964 yrs)
- Last Updated
- Oct 7, 2011
- License
-
2705001197 (MI)
Practice Information
- Address
-
2893 28TH ST SEGRAND RAPIDS, MI, 495121622Browse MI providers · Browse ZIP 49512
- Phone
- 6162411216
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. NICOLE RENEE MOBERLY | MT | 1780858365 |
| MRS. BRENDA J PAYNE | CMT | 1184862666 |
| GRACE B HINKLE | MT | 1326376690 |
| MR. MARCUS E WEBB | CMT | 1134436397 |
| MS. KELLY MARIE PAHMAN | CST | 1073880407 |
| SATYA BALLARD | — | 1164765558 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.