ROCK STEADY BOXING MID MICHIGAN (NPI# 1104354349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104354349 |
| Entity Type | Organization |
| Organization Name | ROCK STEADY BOXING MID MICHIGAN |
| Practice Address |
1914 S Saginaw Rd Apt 408 Midland MI 48640-6808 |
| Practice Telephone | 9894861154 |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-01 |
| Authorized Official Name | STACEY LYNNE HANNAH (OWNER/HEAD COACH) |
| Authorized Official Telephone | 9894861154 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1914 S SAGINAW RD APT 408 |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-6808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700329075 | Stacey Lynne Hannah | Rehabilitation Practitioner | 1914 S Saginaw Rd, Midland, MI 48640-6808 | 2016-11-18 |
| 1316369119 | Roban Williams | Rehabilitation Practitioner | 3713 Greenbrier Ter, Midland, MI 48642-6629 | 2014-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144785205 | Lindsey Sayles | Rehabilitation Practitioner | 3115 Cascade Rd Se, Grand Rapids, MI 49506-1961 | 2019-02-04 |
| 1891274460 | Lindsey Elizabeth Mcbride | Rehabilitation Practitioner | 1570 E Beltline Ave Se, Grand Rapids, MI 49546-4446 | 2018-08-14 |
| 1003331752 | Restorative Outdoor Services LLC | Rehabilitation Practitioner | 6874 Wildwood Trl Sw, South Boardman, MI 49680-9588 | 2017-08-03 |
| 1912427121 | Kalysia Zimmerman | Rehabilitation Practitioner | 1444 Water St, Eaton Rapids, MI 48827-1860 | 2017-06-20 |
| 1952839532 | Alexus Miller | Rehabilitation Practitioner | 1314 Langley St Se, Grand Rapids, MI 49508-8925 | 2017-05-26 |
| 1528595055 | Amber Rose Brautigam | Rehabilitation Practitioner | 315 Fuller Ave Se # 2, Grand Rapids, MI 49506-1639 | 2017-05-15 |
| 1831625607 | April D Spotts | Rehabilitation Practitioner | 86 W Clarke Ave, Coldwater, MI 49036-1130 | 2017-05-11 |
| 1285160226 | Patrick Besse | Rehabilitation Practitioner | 10737 Wildwood Rd, Delton, MI 49046-7784 | 2017-05-11 |
| 1386170546 | Carlie Little | Rehabilitation Practitioner | 3913 Leland Ave. Nw, Comstock Park, MI 49321 | 2017-05-10 |
| 1962938282 | Rachel Gray | Rehabilitation Practitioner | 32 Winter Ave Sw, Apt 450, Grand Rapids, MI 49504-6486 | 2017-05-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.