person
Joann Southern, 2705001197
Massage Therapist in Grand Rapids, Michigan
NPI 1578847612

Joann Southern is a Massage Therapist based in Grand Rapids, MI. Joann Southern practices in Grand Rapids, MI and has the professional credentials of 2705001197. The NPI Number for Joann Southern is 1578847612 and holds a License No. 2705001197 (Michigan).

The current practice location address for Joann Southern is 2893 28Th St Se, Grand Rapids, MI and can be reached out via phone at 616-241-1216.

Location: 2893 28Th St Se, Grand Rapids, MI, 49512-1622
person
Provider Profile Details
NPI Number
1578847612
Provider Name
Joann Southern
Credential
2705001197
Provider Entity Type
Individual
Gender
Female
Address
2893 28Th St Se, Grand Rapids, MI, 49512-1622
Phone Number
616-241-1216
Fax Number
Provider Enumeration Date
10/07/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2893 28Th St Se
City
State
Zip
49512-1622
Phone Number
616-241-1216
Fax Number
person
Provider Business Mailing Address Details
Address
2893 28Th St Se
City
State
Zip
49512-1622
Phone Number
616-241-1216
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
2705001197 (Michigan)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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