Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDISON KONAN
ActiveEDISON KONAN is a Massage Therapist healthcare provider located in SOUTHGATE, Michigan. NPI 1598476061 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · SOUTHGATE, MI
Registration Details
- NPI Number
- 1598476061
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 6, 2022 (3.6593025291741 yrs)
- Last Updated
- Jan 8, 2024
- License
-
7501016017 (MI)
Practice Information
- Address
-
15450 HEATHERWOODSOUTHGATE, MI, 481958523Browse MI providers · Browse ZIP 48195
- Phone
- 7347202097
- Primary Specialty
-
Massage Therapist
225700000X
- Additional Specialty
- Behavior Technician
- Additional Specialty
- Driver
- Additional Specialty
- Adult Companion
- Additional Specialty
- Massage Therapist
Other Massage Therapist Providers in SOUTHGATE, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. GLADYS MARIE AYALA | M.T | 1386883031 |
| VERONICA LACASSE | — | 1518340975 |
| BRIDGET ANN BARDEN | MASSAGE THERAPIST | 1598272981 |
| DORIS LYNN CRABTREE | — | 1104334549 |
| AMBER FLORES | LMT | 1144034190 |
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.