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JOANN SOUTHERN 2705001197
NPI 1578847612
Massage Therapist in Grand Rapids, MI

Active since October 07, 2011
2893 28TH ST SE, GRAND RAPIDS, MI 49512(616) 241-1216 Get Directions Write a Review

NPPES record last updated: October 7, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joann Southern 2705001197 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOANN SOUTHERN 2705001197 (NPI 1578847612) is an individual massage therapist in Grand Rapids, Michigan, licensed in Michigan (2705001197) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1578847612
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJOANN SOUTHERNCredential: 2705001197
Location Address2893 28TH ST SEGrand Rapids, MI 49512-1622
Mailing Address2893 28th St SeGrand Rapids, MI 49512-1622 · (616) 241-1216
Phone(616) 241-1216
Sole ProprietorNo
Enumeration DateOctober 7, 2011
✔ NPI 1578847612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in MI · 2705001197
Definition
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.
2893 28TH ST SE, Grand Rapids, MI 49512
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joann Southern's NPI number?

The NPI number for Joann Southern is 1578847612. It was assigned to this individual provider in the NPPES registry on October 7, 2011.

Where is Joann Southern located?

Joann Southern practices at 2893 28th St SE, Grand Rapids, MI 49512. The listed phone number is (616) 241-1216.

What is Joann Southern's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Joann Southern was last updated on October 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.