Grazia Buffa, PTA, NBC-HWC
Individual provider Active NPI Health & Wellness Coach · Macomb, MI
NPI 1053007641 · NPPES record last updated Apr 17, 2023
Key facts
- NPI
- 1053007641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- License
- A-3694981 (MI)
- Practice address
- 54642 Hibiscus Dr
Macomb, MI 48042-2263 - Phone
- (586) 246-1123
- NPI assigned
- Apr 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-3694981 | MI | MD | Health & Wellness Coach |
| 5502002045 | MI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502002045 | MI | |
| Health & Wellness Coach | 171400000X | A-3694981 | MI | Yes |
Addresses
Primary practice location
54642 Hibiscus Dr
Macomb, MI 48042-2263
Mailing address
54642 Hibiscus Dr
Macomb, MI 48042-2263
Phone (586) 246-1123
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- Kyle Joseph Burkardt
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All providers in Macomb, MI · Health & Wellness Coach in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.