EDISON KONAN

Massage Therapist

Active Individual
NPI: 1598476061

Practice Address

15450 HEATHERWOOD
Southgate, MI 48195

Phone: (734) 720-2097

Specialties

Specialty Code Primary License
Health & Wellness Coach 171400000X No -
Behavior Technician 106S00000X No -
Driver 172A00000X No -
Adult Companion 372600000X No -
Massage Therapist 225700000X Yes 7501016017 (MI)

Frequently Asked Questions

NPI 1598476061 is the National Provider Identifier for EDISON KONAN, a Massage Therapist provider located in Southgate, MI. This NPI was enumerated on December 6, 2022.
EDISON KONAN practices at 15450 HEATHERWOOD, Southgate, MI 48195.

Quick Facts

NPI
1598476061
Type
Individual
Enumerated
Dec 6, 2022
Last Updated
Jan 8, 2024

Nearby Providers