MRS. AUTUMN N BAHLKE (NPI# 1114542958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114542958 |
| Entity Type | Individual |
| Full Name | MRS. AUTUMN N BAHLKE |
| Credential | LMT |
| Practice Address |
3010 Wilson Ave Sw Grandville MI 49418-1242 |
| Practice Telephone | 6162498141 |
| Mailing Telephone | 6162498141 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 7501003583 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NA | 7501003583 | 01 |
| Street Address |
3010 WILSON AVE SW |
| City | GRANDVILLE |
| State | MI |
| Zip Code | 49418-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891754503 | Jeffrey Scott Carter | Physical Therapist | 3010 Wilson Ave Sw, Grandville, MI 49418-1242 | 2006-03-21 |
| 1114394319 | Kathryn Antor | Speech-Language Pathologist | 3010 Wilson Ave Sw, Grandville, MI 49418-1242 | 2015-08-24 |
| 1124425541 | Karina Carter | Speech-Language Pathologist | 3010 Wilson Ave Sw, Grandville, MI 49418-1242 | 2014-12-01 |
| 1942604475 | Kelly Marie Hansen | Massage Therapist | 3010 Wilson Ave Sw, Grandville, MI 49418-1242 | 2014-10-13 |
| 1982958872 | Barbara Stine | Speech-Language Pathologist | 3010 Wilson Ave Sw, Grandville, MI 49418-1242 | 2012-10-31 |
| 1063765543 | Daniel Michael Lyons | Audiologist | 3010 Wilson Ave Sw, Grandville, MI 49418-1242 | 2012-10-20 |
| 1972860252 | Apogee Therapy Center, LLC | Speech-Language Pathologist | 3010 Wilson Ave Sw, Grandville, MI 49418-1242 | 2012-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144799669 | Holly Cieslinski | Occupational Therapist | 3550 Fairlines Ave, Grandville, MI 49418 | 2018-11-14 |
| 1639664857 | Athletico Ltd | Physical Therapist | 3819 Rivertown Pkwy Sw Ste 100, Grandville, MI 49418 | 2018-06-29 |
| 1437651916 | Great Lakes Wellness Counseling LLC | Counselor | 2900 Wilson Ave Suite 110, Grandville, MI 49418 | 2018-03-01 |
| 1780111765 | Jenna Sargent | Nurse Practitioner | 2845 44th St Sw, Ste 200, Grandville, MI 49418 | 2017-05-22 |
| 1881132827 | Laura Elizabeth Ramaker | Specialist/Technologist | 2787 Pine Dunes Ct Sw, Wyoming, MI 49418 | 2017-02-10 |
| 1689026130 | Charles Unseld | Hearing Instrument Specialist | O-38 44th St Sw, Grandville, MI 49418 | 2016-07-08 |
| 1972989655 | Laci Dawn Johncock | Physical Therapy Assistant | 2786 56th Street, Wyoming, MI 49418 | 2015-08-05 |
| 1891178570 | Joshua Kolman | Pharmacist | 3434 Century Center Dr Sw, Grandville, MI 49418 | 2015-06-30 |
| 1710368782 | Tracie Medrano- Smith | Family Medicine | 4174 56th St Sw, Wyoming, MI 49418 | 2015-06-15 |
| 1124410808 | Kim Michelle Childress | Counselor | 4565 Wilson Ave Sw Ste 3a, Grandville, MI 49418 | 2015-03-04 |
| Find all providers in zip 49418 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346764974 | Megan Michelotti | Massage Therapist | 4289 Mohave Ct Sw, Grandville, MI 49418-1739 | 2017-07-26 |
| 1942604475 | Kelly Marie Hansen | Massage Therapist | 3010 Wilson Ave Sw, Grandville, MI 49418-1242 | 2014-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629043 | Nathaniel Farnsworth Barrino | Massage Therapist | 21940 Coolidge Hwy, Oak Park, MI 48237-2811 | 2020-11-06 |
| 1376144378 | Uper, Inc | Massage Therapist | 3197 E Rocky Trl, Cedarville, MI 49719-9560 | 2020-11-05 |
| 1700487832 | Emalee Ann Behem | Massage Therapist | 7880 Vincent Rd, Croswell, MI 48422-9010 | 2020-11-04 |
| 1588264238 | Courtney Altmaier | Massage Therapist | 1175 S Smith Rd, Cedarville, MI 49719-9564 | 2020-10-30 |
| 1023617990 | Beth Andrea Schipper | Massage Therapist | 2717 104th Ave, Zeeland, MI 49464-6801 | 2020-10-22 |
| 1528667722 | Elissa Marie Stewart | Massage Therapist | 118 Minnehaha St, Roscommon, MI 48653-7118 | 2020-10-20 |
| 1881292977 | Cheyanne English | Massage Therapist | 119 Columbia Ave E Ste 12, Battle Creek, MI 49015-3765 | 2020-10-12 |
| 1063010288 | Heather R Iavelli | Massage Therapist | 220 Dumaire St, White Lake, MI 48383-2697 | 2020-10-09 |
| 1558968578 | Polly Ann Holmes | Massage Therapist | 359 W Nepessing St Ste B, Lapeer, MI 48446-2182 | 2020-10-02 |
| 1891302493 | Irene Dooley | Massage Therapist | 544 E Kirby St, Detroit, MI 48202-4121 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | GRANDVILLE |
| Zip Code | 49418 |
Please comment or provide details below to improve the information on MRS. AUTUMN N BAHLKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.