Evan Coonrod is a Massage Therapist based in Ballwin, MO. Evan Coonrod practices in Ballwin, MO. The NPI Number for Evan Coonrod is 1750982211 and holds a License No. 2018012292 (Missouri).
The current practice location address for Evan Coonrod is 239 Steamboat Ln, Ballwin, MO and can be reached out via phone at 314-570-9717.
Location: 239 Steamboat Ln, Ballwin, MO, 63011-3203
Provider Profile Details
NPI Number
1750982211
Provider Name
Evan Coonrod
Credential
Provider Entity Type
Individual
Gender
Male
Address
239 Steamboat Ln, Ballwin, MO, 63011-3203
Phone Number
314-570-9717
Fax Number
Provider Enumeration Date
11/02/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
239 Steamboat Ln
City
State
Zip
63011-3203
Phone Number
314-570-9717
Fax Number
Provider Business Mailing Address Details
Address
239 Steamboat Ln
City
State
Zip
63011-3203
Phone Number
314-570-9717
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
2018012292 (Missouri)
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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