Gerrit Jesse Bashaw

Individual provider Active NPI Health & Wellness Coach · Mt Pleasant, MI

NPI 1417867367 · NPPES record last updated Sep 11, 2026

Key facts

NPI
1417867367
Entity type
Individual (NPI type 1)
Primary specialty
Health & Wellness Coach 171400000X
Practice address
2426 Parkway Dr
Mt Pleasant, MI 48858-4723
Phone
(989) 773-6918
NPI assigned
Sep 11, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X Yes

Addresses

Primary practice location

2426 Parkway Dr
Mt Pleasant, MI 48858-4723

Mailing address

2426 Parkway Dr
Mt Pleasant, MI 48858-4723
Phone (989) 773-6918

Other providers in Mt Pleasant, MI

All providers in Mt Pleasant, 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 Sep 11, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.