Craniosacral Institute of Michigan, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

5501006539 Issued in MI

Legal business name

CRANIOSACRAL INSTITUTE OF MICHIGAN, LLC

Practice address

245 Barclay Cir
Suite 400
Rochester Hills, MI 48307-5815

Phone

(586) 991-0801

Fax

(586) 991-0804

NPI assigned

Aug 9, 2006

Last updated

Jan 5, 2016By 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

Vanessa Lynne Koschtial Howe, MSPTNPI 1144256116

Title

Owner

Phone

(586) 991-0801

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Vanessa Lynne-Koschtial Howe, MSPT

  • Specialist
  • Rochester Hills, MI
  • NPI 1144256116
  Authorized official Same address or phone

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1982614889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BARCLAY CIR",
            "address_2": "SUITE 400",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075815",
            "telephone_number": "586-991-0801",
            "fax_number": "586-991-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 BARCLAY CIR",
            "address_2": "SUITE 400",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075815",
            "telephone_number": "586-991-0801",
            "fax_number": "586-991-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIOSACRAL INSTITUTE OF MICHIGAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "HOWE",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "LYNNE KOSCHTIAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-991-0801",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "5501006539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0E01493",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Wanda Anita-Nelson Cowan, RN
• Nancy Cox
• Patience Cox
• Craig D Peppler, DO, PC
• Jason Donald Crile, M.D.
• Crittenton Medical Equipment LLC
• Crittenton Medical Equipment, LLC
• Crittenton Medical Equipment, LLC
• Michelle Crowder, N.D.

• Specialist in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.