MICHAEL ALLEN VANEERDEN (NPI# 1295348092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295348092 |
| Entity Type | Individual |
| Full Name | MICHAEL ALLEN VANEERDEN |
| Credential | LMT |
| Practice Address |
1359 Emerald Ave Ne Grand Rapids MI 49505-5226 |
| Practice Telephone | 5746124458 |
| Mailing Telephone | 5746124458 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 7501009828 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1359 EMERALD AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505-5226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113983 | Mary Beth Holtz | Massage Therapist | 3355 Eagle Park Dr Ne Ste 107, Grand Rapids, MI 49525-7004 | 2020-08-04 |
| 1689282824 | Annemarie Hazzard-pryor | Massage Therapist | 2050 Breton Rd Se Ste 109, Grand Rapids, MI 49546-5547 | 2020-07-14 |
| 1699308890 | Brenda Kay Purchase | Massage Therapist | 5300 Northland Dr Ne Ste F, Grand Rapids, MI 49525-1058 | 2020-02-16 |
| 1023586542 | Kayla Lynne Pettit | Massage Therapist | 435 Cherry St Se # B, Grand Rapids, MI 49503-4672 | 2018-11-02 |
| 1881160422 | Erica Kate Snay | Massage Therapist | 435 Cherry St Se Ste B, Grand Rapids, MI 49503-4672 | 2018-10-22 |
| 1720515406 | Tiffanie Ryder | Massage Therapist | 1110 Merrified St, Grand Rapids, MI 49507 | 2017-05-12 |
| 1902359706 | Cynthia Marie Thorson | Massage Therapist | 2184 Saginaw Rd Se, Grand Rapids, MI 49506-5446 | 2016-07-27 |
| 1316391477 | Kylin Mary-elizabeth Cronkhite | Massage Therapist | 710 Morris Ave Se, Apt #1, Grand Rapids, MI 49503-5324 | 2016-04-14 |
| 1992164180 | Sarita Gibbons | Massage Therapist | 1057 Bridge St Nw, Grand Rapids, MI 49504-5061 | 2016-02-16 |
| 1730548371 | Laura Williams | Massage Therapist | 1040 4 Mile Rd Nw, Grand Rapids, MI 49544-1505 | 2016-02-10 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
Please comment or provide details below to improve the information on MICHAEL ALLEN VANEERDEN.
| 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.