NPI 1114419421

Hjarsti Coonrod

Practitioner Massage Therapist Traverse City, MI

Practice location

Address: 418 S Union St, Traverse City, MI 49684-5756
Phone: (231) 421-3968

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 7501006049 (MI)

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Registry record

NPI: 1114419421
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jun 2018
Record last updated: 1 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.