Individual provider · Type 1 NPI
Jackie Anne Harasewicz, OMT
Specialist · Coloma, MI
NPI number
1295368090
Active
Practice location
213 N Paw Paw St
Coloma, MI 49038-9589
Mailing address
504 Lost Oak Ln
Watervliet, MI 49098-8345
Other practice locations
- 504 Lost Oak Ln, Watervliet, MI 49098-8345 · (269) 753-8213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist | 124Q00000X | 2902016477 (MI) |
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
About NPI 1295368090
Jackie Anne Harasewicz, OMT's National Provider Identifier is 1295368090, issued on Feb 20, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Coloma, MI. The record was last updated on Feb 24, 2021.