Rock Steady Boxing Mid Michigan

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

ROCK STEADY BOXING MID MICHIGAN

Practice address

1914 S Saginaw Rd Apt 408
Midland, MI 48640-6808

Phone

(989) 486-1154

NPI assigned

Jun 1, 2017

Last updated

Jun 1, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stacey Lynne HannahNPI 1700329075

Title

Owner/Head Coach

Phone

(989) 486-1154

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacey Lynne Hannah, LMT

  • Rehabilitation Practitioner
  • Midland, MI
  • NPI 1700329075
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496275200000",
    "number": "1104354349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 S SAGINAW RD APT 408",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 S SAGINAW RD APT 408",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406808",
            "telephone_number": "989-486-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK STEADY BOXING MID MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A",
        "authorized_official_last_name": "HANNAH",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER/HEAD COACH",
        "authorized_official_telephone_number": "989-486-1154"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hally Robinson
• Julia Robinson, NP
• Kirstin Robinson, MS, AT,ATC
• Maria Grace Martuch Robison, PT, DPT
• Nicholas Carl Rochester
• Allison Nicole Rockafellow, FNP-C
• Stephanie Meagan Rockafellow, OT
• Eric J Rocker, P.A.
• David Michael Roden, M.D.
• Stacy Rodgers, M.A. CCC-SLP

• Rehabilitation Practitioner in Midland, MI
• Providers in Midland, MI by specialty
• Rehabilitation Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.