Individual provider · Type 1 NPI

Joann Southern, 2705001197

Massage Therapist · Grand Rapids, MI

NPI number 1578847612 Active

Practice location

2893 28th St SE
Grand Rapids, MI 49512-1622

Call (616) 241-1216 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2705001197 (MI)

Massage Therapist: 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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About NPI 1578847612

Joann Southern, 2705001197's National Provider Identifier is 1578847612, issued on Oct 7, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 7, 2011.