Evan Coonrod, | |
239 Steamboat Ln, Ballwin, MO 63011-3203 | |
(314) 570-9717 | |
Not Available |
Full Name | Evan Coonrod |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 239 Steamboat Ln, Ballwin, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750982211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 2018012292 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
Evan Coonrod, 239 Steamboat Ln, Ballwin, MO 63011-3203 Ph: (314) 570-9717 | Evan Coonrod, 239 Steamboat Ln, Ballwin, MO 63011-3203 Ph: (314) 570-9717 |
Michael Joe Webb, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 15480 Clayton Rd Ste 103, Ballwin, MO 63011 Phone: 314-229-9637 | |
Stephen Leonard Rubin, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 13975 Manchester Rd Ste 2, Ballwin, MO 63011 Phone: 636-336-8115 |